TWI603712B - Cardiac Physiological Measurement System - Google Patents

Cardiac Physiological Measurement System Download PDF

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TWI603712B
TWI603712B TW105114236A TW105114236A TWI603712B TW I603712 B TWI603712 B TW I603712B TW 105114236 A TW105114236 A TW 105114236A TW 105114236 A TW105114236 A TW 105114236A TW I603712 B TWI603712 B TW I603712B
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signal
point
valve
cardiac
heartbeat
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TW201739415A (en
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Ming-Yi Li
Wen-Yan Lin
Cai-Xuan Cai
zhong-zhi Lin
Bo-Cheng Zhang
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心臟搏動生理之量測系統Cardiac physiology measurement system

本發明係關於一種生理狀態之量測系統,尤指一種心臟搏動生理之量測系統。The present invention relates to a measurement system for a physiological state, and more particularly to a measurement system for cardiac pulsation physiology.

心血管疾病向來都是全球人口死亡的頭號殺手,依據世界衛生組織(World Health Organization)所公佈之數據指出,心血管疾病每年都造成全球約1,710萬人死亡,佔全球總死亡人數31%,其中740萬人死於心臟病,且估計到2030年全球死亡人數將攀升至每年2,300萬人。影響心臟正常生理運作的原因有很多,包含心臟血管的通暢程度、心肌的收縮狀況、心臟瓣膜的運動情況、竇房節刺激的穩定性及心血管的血流量等,稍有差異都可能對人類生命造成極大的威脅,因此在心臟疾病的預防或治療上,近來也發展出許多針對不同心臟生理反應進行監測的儀器,包含心電圖、心音圖、心臟超音波、正子斷層造影或核醫檢查等,以期望能更加精準的掌握心臟最即時的生理情況,使醫師及患者能在第一時間進行最有效率的對應措施或治療。Cardiovascular disease has always been the number one killer of global population deaths. According to data published by the World Health Organization, cardiovascular disease causes approximately 17.1 million deaths worldwide each year, accounting for 31% of the world's total deaths. 7.4 million people died of heart disease, and it is estimated that by 2030 the global death toll will climb to 23 million per year. There are many reasons that affect the normal physiological function of the heart, including the degree of patency of the blood vessels of the heart, the contraction of the heart muscle, the movement of the heart valve, the stability of the stimulation of the sinus node, and the blood flow of the cardiovascular, etc., and slight differences may be applied to humans. Life poses a great threat. Therefore, in the prevention or treatment of heart disease, many instruments for monitoring different cardiac physiological reactions have recently been developed, including electrocardiogram, heart sound map, cardiac ultrasound, positron tomography or nuclear medicine examination. With the expectation of more accurate grasp of the most immediate physiological conditions of the heart, doctors and patients can carry out the most effective response measures or treatments in the first time.

其中,心電圖雖係目前運用最為廣泛的心臟生理量測儀器之一,然而心電圖係用以反映心臟及其瓣膜綜合產生之整體症狀,僅能推知心臟瓣膜運作的區間,而無法單獨使用心電圖觀測心臟瓣膜之異常症狀,故其仍在某些特定的心臟疾病,特別是對心臟衰竭(heart failure)、瓣膜性心臟病(Valvular Heart Disease)及突發昏厥(Syncope)而言,有其資訊取得上的限制,同時其他檢測方式亦無法有效的改善現有的限制,例如心音圖僅能用於判斷心臟瓣膜的開合時間,無法用於判斷瓣膜性心臟病造成心臟整體運作的血流變化,且心音圖接收的聲音係來自於體表,使其有時間延遲的疑慮,或是胸部X光之攝影可診斷出瓣膜的鈣化情形,但其屬影像輸出方式無法進行長時間監測,另外,超音波亦可用以觀察心臟影像和其組織動作的情況,然而,M型心臟超音波系統僅能用以判定心臟內管腔直徑及心臟瓣膜移動的情況,而杜普勒超音波及對比劑超音波則係僅可測定心臟血管內的血流方向、流速及亂流的存在,同時具有僅能觀察二維平面狀態之方向性限制,故無法做為瓣膜性心臟病監測之較佳選擇,而三維超音波雖能觀測到心臟搏動之全貌,但其不僅設備昂貴,且輸出影像耗費軟體資源較重,缺乏能長時間監測之便利性。Among them, although the electrocardiogram is one of the most widely used cardiac physiological measuring instruments, the electrocardiogram is used to reflect the overall symptoms of the heart and its valves. It can only infer the operation of the heart valve, and cannot use the ECG alone to observe the heart. The abnormal symptoms of the valve, so it is still in some specific heart diseases, especially for heart failure, Valvular Heart Disease and Syncope. The limitations, while other detection methods can not effectively improve the existing limitations, such as heart sound map can only be used to determine the opening and closing time of the heart valve, can not be used to determine the blood flow changes caused by valvular heart disease caused by the overall function of the heart, and heart sounds The sound received by the picture comes from the body surface, which makes it doubtful about time delay, or the chest X-ray photography can diagnose the calcification of the valve, but it is an image output method that cannot be monitored for a long time. In addition, the ultrasound is also Can be used to observe the heart image and its tissue movements, however, the M-type cardiac ultrasound system can only be used to determine The diameter of the visceral lumen and the movement of the heart valve, while the Doppler ultrasound and contrast ultrasound can only measure the direction of blood flow, flow velocity and turbulence in the blood vessels of the heart, and can only observe two-dimensional The directional restriction of the planar state can not be used as a better choice for the monitoring of valvular heart disease, while the three-dimensional ultrasound can observe the whole picture of the heart beat, but it is not only expensive, but also the output image consumes heavy software resources, lacking The convenience of long-term monitoring.

心震圖(Mechanocardiography, MCG)是一種藉由量測心臟搏動過程中傳遞至體表之震動時序訊號以觀察心臟生理的一種檢測方式,由於心搏過程中所帶有之心肌的搏動、血液的流動及瓣膜的運動,都會造成相對應的反衝壓力至身體表面,因此心震圖可藉由於身體表面設置加速規等動能感測器量測該些反衝壓力,就心房和心室的心臟射血能力、心房在舒張期的充盈速度以及瓣膜的開閉狀況進行觀察,並對心臟搏動的生理狀態進行評估。如大陸公開案號CN101801263A之發明專利申請案所載,可藉由一組心電圖(Electrocardiogram, ECG)模組及一組心震圖(Mechanocardiography, MCG)模組同時對心臟搏動狀態進行觀察,將心電圖上由心室肌肉組織的去極化引起的R波峰與相應心震圖時序進行同步後,於心震圖上比對獲得心臟搏動狀態的對應特徵點。Mechanocardiography (MCG) is a kind of detection method for observing cardiac physiology by measuring the vibration sequence signal transmitted to the body during the heart beat. Because of the heartbeat and blood in the heartbeat process The movement of the flow and the valve will cause the corresponding recoil pressure to the surface of the body. Therefore, the heart map can be measured by the kinetic energy sensor such as an accelerometer on the body surface to measure the recoil pressure, and the heart and ventricle are shot. Blood ability, atrial filling speed during diastole, and opening and closing of the valve were observed, and the physiological state of the heart beat was evaluated. As shown in the invention patent application of CN101801263A, the electrocardiogram can be observed simultaneously by a set of Electrocardiogram (ECG) modules and a set of Mechanocardiography (MCG) modules. After the R wave peak caused by the depolarization of the ventricular muscle tissue is synchronized with the time sequence of the corresponding heart map, the corresponding feature points of the heart beat state are obtained on the heart map.

然而,現有的心震圖量測技術中,多係以單一個慣性運動感測器設置於與三尖瓣膜對應之的身體表面進行量測,當慣性運動感測器以此種方式進行量測時,其可量測到的心震圖特徵點將僅限於三尖瓣周邊之心臟生理現象,於數量上有其限制,此為其一;再者,以此種方式進行心臟生理量測時,其無法準確量測到遠端瓣膜之確切運動情況及血液流動之情況,容易造成判讀失準並使應測得之量測值有所疏漏;三者,於現行技術下,心震圖特徵點之獲取方式僅係以心電圖與心震圖時序同步後,依學理進行心震圖波形之判讀,未能轉化其他有效資訊來源一同進行分析,故其特徵點之豐富度及準確度皆有所不足。However, in the existing cardiogram measurement technology, a plurality of inertial motion sensors are disposed on the body surface corresponding to the tricuspid valve for measurement, and the inertial motion sensor is measured in this manner. At the time, the measurable heartbeat feature points will be limited to the cardiac physiological phenomenon around the tricuspid valve, which is limited in number, which is one; in addition, when performing cardiac physiological measurement in this way, It can not accurately measure the exact movement of the distal valve and the blood flow, which is easy to cause misunderstanding and omission of the measured value; three, under the current technology, the heartbeat feature points The acquisition method is only based on the synchronization of the ECG and the heartbeat timing, and the interpretation of the waveform of the heartplate is performed according to the theory. The analysis cannot be performed together with other effective information sources, so the richness and accuracy of the feature points are insufficient. .

基於上述原由,如何提供一種心震圖譜的量測系統,使醫師及使用者不僅能更為準確地獲得心臟搏動的生理狀態,同時得以轉化更多有效資訊來源共同進行辨別判斷,即成為現況下於此技術領域中亟需突破的方向。Based on the above reasons, how to provide a measurement system for heart-beating maps, so that doctors and users can not only obtain the physiological state of heart beat more accurately, but also transform more effective information sources to jointly judge and judge, that is, under the current conditions There is an urgent need for breakthroughs in this technical field.

本發明之主要目的,係提供複數個心臟震動源之心臟搏動生理量測系統,藉由於訊號接收比對模組連接有一資料庫,並利用該資料庫於該至少一心震圖訊號上擷取至少一特徵點,以觀察心臟搏動之生理狀態,其中,該資料庫係使用心震圖訊號、心電圖與心臟超音波比對獲得之複數個特徵點所建立,可有效且快速的進行心臟生理之監測。The main purpose of the present invention is to provide a heart beat physiological measurement system for a plurality of heart vibration sources, wherein a signal database is connected to the signal receiving comparison module, and the database is used to capture at least one heartbeat signal. A feature point to observe the physiological state of the heart beat, wherein the database is established by using a plurality of feature points obtained by the heartbeat signal, the electrocardiogram and the cardiac ultrasound comparison, and the cardiac physiological monitoring can be performed effectively and rapidly. .

本發明之另一目的,係提供複數個心臟震動源之心臟搏動生理量測系統,藉由於特定心臟震動源設置加速度傳感器獲得各個特定位置更為準確之瓣膜運動狀態、心肌收縮強度及血液脈衝速度大小,並比對特定位置間之心臟搏動特徵點及特徵值,以消弭單一心震圖訊號因訊號來源不足而遮蔽遺漏特定特徵點之讀取,造成心臟搏動量測不夠準確之缺點。Another object of the present invention is to provide a cardiac pulsation physiological measurement system for a plurality of cardiac vibration sources, wherein an acceleration sensor is provided for a specific cardiac vibration source to obtain a more accurate valve motion state, myocardial contraction strength, and blood pulse velocity at each specific position. The size and comparison of the heartbeat feature points and eigenvalues between specific locations to eliminate the single heartbeat signal from obscuring the reading of missing specific feature points due to insufficient signal source, resulting in the inaccuracy of the heart beat measurement.

本發明之再一目的,係提供結合超音波辨別特徵點之心臟搏動生理量測系統,藉由結合特徵點演算法用以判定心震圖譜特徵點及特徵參數,不僅避免影像判讀過於主觀之情事,更突破現行臨床上要偵測瓣膜開閉、心肌收縮及血液脈衝異常均須要同步以超音波或核磁檢查才能判定之缺失。A further object of the present invention is to provide a cardiac pulsation physiological measurement system combining ultrasonic feature points, which is used to determine the characteristic points and characteristic parameters of the cardiac vibration map by combining the feature point algorithm, thereby avoiding the image subject interpretation being too subjective. More breakthrough in the current clinical examination of valve opening and closing, myocardial contraction and abnormal blood pulse must be synchronized with ultrasound or nuclear magnetic examination to determine the lack.

本發明之又一目的,係提供複數個心臟震動源之心臟搏動生理量測系統,藉由將複數個心震圖訊號形成一心震圖譜的方式收集心臟搏動時「面」的震動反應,作為評估心臟作動週期內瓣膜開閉時間及開閉動作是否異常、心肌收縮強度及血液脈衝速度大小等動態之觀察辨識依據,以克服單一心震圖容易因時間延遲、訊號衰減而造成心臟搏動量測不夠準確之缺點。Another object of the present invention is to provide a cardiac physiology measurement system for a plurality of cardiac vibration sources, which collects a vibration response of a "face" during a heartbeat by collecting a plurality of cardiac image signals into a cardiac shock spectrum. Dynamic observation and identification of valve opening and closing time, abnormal opening and closing action, myocardial contraction intensity and blood pulse velocity in the cardiac actuation cycle, in order to overcome the single heart map, the heart beat measurement is not accurate due to time delay and signal attenuation. Disadvantages.

本發明之又一目的,係提供一種心臟搏動生理之量測系統,藉由將該量測系統與穿戴式技術或可攜式技術進行結合,得以發展出一種居家與醫療院所使用之行動心臟搏動特徵時點量測系統,提供更為客觀的輔助判斷,使其適用於不同應用情境,方便醫師及使用者進行應用。Another object of the present invention is to provide a heart beat physiological measurement system, which combines the measurement system with wearable technology or portable technology to develop a mobile heart for use in homes and hospitals. The pulsating feature point measurement system provides a more objective auxiliary judgment, making it suitable for different application scenarios, and is convenient for doctors and users to apply.

為了達到上述之目的,本發明揭示了一種心臟搏動生理之量測系統,其係使用心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫,該系統包含複數個心電圖量測電極、至少一慣性運動感測器及一訊號接收比對模組。其中該些心電圖量測電極係貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號,同時該至少一慣性運動感測器係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號,而後該訊號接收比對模組分別接收該心電圖訊號及該至少一加速度量測訊號,將該至少一加速度量測訊號轉換成至少一心震圖訊號後再進行同步,並利用該心電圖訊號於該至少一心震圖訊號上產生一起始點,藉由該起始點比對一資料庫於該至少一心震圖訊號上擷取至少一特徵點。In order to achieve the above object, the present invention discloses a cardiac pulsation physiological measurement system, which is a heartbeat state database established by using a plurality of feature points obtained by comparison of a cardiac map, an electrocardiogram and a cardiac ultrasound. The utility model comprises a plurality of electrocardiographic measuring electrodes, at least one inertial motion sensor and a signal receiving comparison module. The electrocardiographic measuring electrodes are attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal, and the at least one inertial motion sensor is disposed at a position corresponding to the heart valve to be measured. At least one integrated measurement area for sensing at least one acceleration measurement signal, and then the signal reception comparison module respectively receives the electrocardiogram signal and the at least one acceleration measurement signal, and converts the at least one acceleration measurement signal into at least Synchronizing the signal after the heartbeat signal, and using the electrocardiogram signal to generate a starting point on the at least one heartbeat signal, wherein the starting point compares the database with at least one of the at least one heartbeat signal Feature points.

本發明之一實施例中,其亦揭露該心臟搏動生理之量測系統進一步可包含一傳輸單元及一終端裝置;該傳輸單元可與該訊號比對模組連接,用以接收該比對結果並進行資料傳輸至該終端裝置,進行資料之呈現或進階處理。In an embodiment of the present invention, the measurement system of the cardiac pulsation physiology further includes a transmission unit and a terminal device; the transmission unit is connectable with the signal comparison module for receiving the comparison result. And the data is transmitted to the terminal device for data presentation or advanced processing.

本發明之一實施例中,其亦揭露該些體表區域包含由胸骨左緣第二肋向右橫過胸骨柄,擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域;由胸骨右緣第五肋間,擴展至腋後線之二尖瓣體表區域;由胸骨左緣第二肋間為中心,向上擴至第一肋間、左鎖骨下區,向下至胸骨左緣第三肋間之肺動脈瓣體表區域;或由胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。In an embodiment of the present invention, it is also disclosed that the body surface region comprises a second rib of the left sternal border crossing the sternum stem to the right, and extending to the aortic valve surface region between the second and third intercostals of the right sternal border; The fifth intercostal space of the right sternal border extends to the mitral valve surface area of the posterior tibial line; the second intercostal space between the left sternal border is centered, and extends upward to the first intercostal space, the left subclavian area, and down to the left sternal left edge. The intercostal pulmonary valve surface area; or the tricuspid valve surface area extending from the fourth and fifth intercostals of the right sternal border to the right.

本發明之一實施例中,其亦揭露該些心電圖量測電極及該些慣性運動感測器可進一步設置於貼身衣物之內側,並同樣設置於對應心臟瓣膜位置之至少一體表區域,進行心震圖譜之量測。In an embodiment of the present invention, it is also disclosed that the electrocardiographic measuring electrodes and the inertial motion sensors can be further disposed on the inner side of the intimate garment, and are also disposed on at least one integrated table region corresponding to the position of the heart valve, and the heart is performed. The measurement of the seismic spectrum.

此外,本發明亦揭示了一種心臟搏動生理之量測系統,其係使用心震圖、心電圖與心臟超音波比對獲得之複數個特徵點,取至少二特徵點獲得之特徵點時間差及其波段之斜率,所建立之心臟搏動狀態資料庫,該系統包含複數個心電圖量測電極、至少一慣性運動感測器及一訊號接收比對模組。其中該些心電圖量測電極係貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號,同時該至少一慣性運動感測器係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號,而後,該訊號接收比對模組分別接收該心電圖訊號及該至少一加速度量測訊號,將該至少一加速度量測訊號轉換成至少一心震圖訊號後,再將該心電圖訊號及該些加速度量測訊號進行同步,利用該心電圖訊號於該至少一心震圖訊號上產生一起始點,藉由該起始點比對一資料庫於該至少一心震圖訊號上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率。In addition, the present invention also discloses a measurement system of cardiac pulsation physiology, which uses a plurality of feature points obtained by comparing a heartbeat map, an electrocardiogram and a cardiac ultrasound, and takes a characteristic point time difference obtained by at least two feature points and a band thereof. Slope, the established heartbeat state database, the system comprising a plurality of electrocardiographic measuring electrodes, at least one inertial motion sensor and a signal receiving comparison module. The electrocardiographic measuring electrodes are attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal, and the at least one inertial motion sensor is disposed at a position corresponding to the heart valve to be measured. At least one integrated measurement area for sensing at least one acceleration measurement signal, and then the signal reception comparison module respectively receives the ECG signal and the at least one acceleration measurement signal, and converts the at least one acceleration measurement signal into After the at least one heartbeat signal is synchronized, the ECG signal and the acceleration measurement signals are synchronized, and the ECG signal is used to generate a starting point on the at least one heartbeat signal, and the starting point is compared with a database. Obtaining at least two feature points on the at least one heartbeat signal to obtain a time difference or a range slope of the at least two feature points.

本發明之一實施例中,其亦揭露該心臟搏動生理之量測系統,當慣性運動感測器之數量係為至少二慣性運動感測器時,該系統進一步可包含一心震圖訊號處理模組,其係連接於該些慣性運動感測器及該訊號接收比對模組之間,用以接收至少二加速度量測訊號,將該些加速度量測訊號加以疊合產生一三維之心震圖訊號後,傳輸至該訊號同步模組。In an embodiment of the present invention, the heartbeat physiological measurement system is also disclosed. When the number of the inertial motion sensors is at least two inertial motion sensors, the system further includes a heartbeat signal processing module. a group connected between the inertial motion sensor and the signal receiving comparison module for receiving at least two acceleration measurement signals, and superimposing the acceleration measurement signals to generate a three-dimensional heart vibration After the signal is transmitted, it is transmitted to the signal synchronization module.

本發明之一實施例中,其亦揭露該至少二特徵點之該時間差係為瓣膜開啟到脈瓣血流最大時點經過時間、脈瓣血流最大時點到瓣膜關閉經過時間或瓣膜開啟到瓣膜關閉總時間。In an embodiment of the present invention, it is also disclosed that the time difference of the at least two feature points is a time elapsed time from when the valve is opened to the maximum blood flow of the valve, when the blood flow of the pulse is maximum, when the valve is closed, or when the valve is opened to the valve. total time.

本發明之一實施例中,其亦揭露該至少二特徵點之該區間斜率係為血流速度出現遞增段之斜率或血流速度出現遞減段之斜率。In an embodiment of the present invention, it is also disclosed that the slope of the interval of the at least two feature points is a slope of an increasing segment of the blood flow velocity or a slope of a decreasing segment of the blood flow velocity.

本發明之一實施例中,其亦揭露該至少二特徵點之該時間差係為二尖瓣瓣膜開啟到二尖瓣瓣膜關閉總時間、三尖瓣瓣膜開啟到三尖瓣瓣膜關閉總時間、肺動脈瓣膜開啟到肺動脈瓣膜關閉總時間、主動脈瓣膜開啟到主動脈瓣膜關閉總時間、三尖瓣瓣膜關閉到肺動脈瓣膜開啟總時間、二尖瓣瓣膜關閉到主動脈瓣膜開啟總時間、二尖瓣瓣膜開啟到二尖瓣脈瓣血流最大時點經過時間、三尖瓣瓣膜開啟到三尖瓣脈瓣血流最大時點經過時間、主動脈瓣膜開啟到主動脈脈瓣血流最大時點經過時間、肺動脈瓣膜開啟到肺動脈脈瓣血流最大時點經過時間、二尖瓣脈瓣血流最大時點到二尖瓣瓣膜關閉經過時間、三尖瓣脈瓣血流最大時點到三尖瓣瓣膜關閉經過時間、肺動脈脈瓣血流最大時點到肺動脈瓣膜關閉經過時間或主動脈脈瓣血流最大時點到主動脈瓣膜關閉經過時間。In an embodiment of the present invention, the time difference of the at least two feature points is the total time from the mitral valve opening to the mitral valve closure, the total time from the tricuspid valve opening to the tricuspid valve closing, and the pulmonary artery. Total time from valve opening to pulmonary valve closure, total aortic valve opening to aortic valve closure, total tricuspid valve closure to total pulmonary valve opening, total mitral valve closure to aortic valve opening, mitral valve The time to the maximum flow of the mitral valve venous flow, the time of the tricuspid valve opening to the maximum time of the tricuspid valve blood flow, the time of the aortic valve opening to the maximum flow of the aortic valve, the time of the pulmonary valve The time to the maximum flow of blood to the pulmonary artery valvular, the time of mitral valvular blood flow to the time of mitral valve closure, the maximum time of tricuspid valvular blood flow to the time of tricuspid valve closure, pulmonary artery The maximum time of valvular blood flow to the time of pulmonary valve closure or the time when the aortic valve blood flow is maximum to the time of aortic valve closure

本發明之一實施例中,其亦揭露該至少二特徵點之該區段斜率係為二尖瓣膜血流速度出現遞增段、三尖瓣膜血流速度出現遞增段、肺動脈瓣膜血流速度出現遞增段、主動脈瓣膜血流速度出現遞增段、二尖瓣膜血流速度出現遞減段、三尖瓣膜血流速度出現遞減段、肺動脈瓣膜血流速度出現遞減段或主動脈瓣膜血流速度出現遞減段。In an embodiment of the present invention, it is also disclosed that the slope of the segment of the at least two feature points is an increasing segment of the mitral valve blood flow velocity, an increasing segment of the tricuspid valve blood flow velocity, and an increase in the pulmonary valve blood flow velocity. Segmental, aortic valve blood flow velocity increased, mitral valve blood flow velocity decreased, tricuspid valve blood flow velocity decreased, pulmonary valve blood flow velocity decreased segment or aortic valve blood flow velocity decreased segment .

此外,本發明亦揭示了一種心臟搏動生理之量測系統,該系統包含複數個心電圖量測電極、至少一慣性運動感測器及一訊號接收比對模組。其中該些心電圖量測電極係貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號,同時該至少一慣性運動感測器係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號,而後,該訊號接收比對模組分別接收該心電圖訊號及該至少一加速度量測訊號,並將該心電圖訊號及該至少一加速度量測訊號,將該至少一加速度量測訊號轉換成至少一心震圖訊號後再進行同步,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,同時該訊號接收比對模組以一演算法依據該至少一起始點於該至少一心震圖訊號上擷取至少一特徵點,其中該演算法係以該至少一心震圖訊號時間軸上以該起始點為基準,於一目標時間範圍進行該至少一特徵點之擷取。In addition, the present invention also discloses a heart beat physiological measurement system, which comprises a plurality of electrocardiographic measurement electrodes, at least one inertial motion sensor and a signal receiving comparison module. The electrocardiographic measuring electrodes are attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal, and the at least one inertial motion sensor is disposed at a position corresponding to the heart valve to be measured. The at least one integrated area is configured to sense at least one acceleration measurement signal, and then the signal receiving comparison module respectively receives the electrocardiogram signal and the at least one acceleration measurement signal, and the ECG signal and the at least one acceleration Measuring the signal, converting the at least one acceleration measurement signal into at least one heartbeat signal, and then synchronizing, and generating at least one starting point on the at least one heartbeat signal by using the electrocardiogram signal, and receiving the comparison mode At least one feature point is captured by the algorithm on the at least one heartbeat signal according to the at least one starting point, wherein the algorithm is based on the starting point on the time axis of the at least one heartbeat signal A target time range performs the capture of the at least one feature point.

本發明之一實施例中,其亦揭露該演算法係包含:以該心電圖上之R波峰值於主動脈瓣心震圖訊號上產生一第一起始點,於該第一起始點之後0.06秒內之一最小谷值點之後擷取一峰值點,以該峰值點定義為側壁心肌收縮最大速度特徵點;於該第一起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為主動脈瓣血流最大特徵點;以心電圖上之R波峰值於肺動脈瓣心震圖訊號上產生一第二起始點,於該第二起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為中膈心肌收縮最大速度特徵點;以上其中之一者或其任意之組合。In an embodiment of the present invention, the algorithm further includes: generating a first starting point on the aortic valve heartbeat signal by using the R wave peak on the electrocardiogram, 0.06 seconds after the first starting point A peak point is obtained after a minimum valley point, and the peak point is defined as a maximum velocity characteristic point of the sidewall myocardial contraction; a maximum peak point is extracted within 0.07 seconds to 0.1 seconds after the first starting point, The maximum peak point defines the maximum characteristic point of aortic valve blood flow; a second starting point is generated on the electrocardiogram R wave peak on the pulmonary valve heartbeat signal, 0.07 seconds to 0.1 second after the second starting point A maximum peak point is taken internally, and the maximum peak point is defined as a characteristic point of the maximum speed of myocardial contraction in the middle; one of the above or any combination thereof.

此外,本發明亦揭示了一種心臟搏動生理之量測系統,該系統包含複數個心電圖量測電極、至少一慣性運動感測器及一訊號接收比對模組。其中該些心電圖量測電極係貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號,同時該至少一慣性運動感測器係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號,而後,該訊號接收比對模組分別接收該心電圖訊號及該至少一加速度量測訊號,並將該心電圖訊號及該至少一加速度量測訊號,將該至少一加速度量測訊號轉換成至少一心震圖訊號後再進行同步,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,同時該訊號接收比對模組以一演算法依據該至少一起始點於該至少一心震圖訊號上擷取至少一特徵點,其中該演算法係以該至少一心震圖訊號時間軸上以該起始點為基準,搭配該心電圖訊號於該至少一心震圖訊號上產生至少一對應點,於至少一起始點與該至少一對應點之間進行該至少一特徵點之擷取。In addition, the present invention also discloses a heart beat physiological measurement system, which comprises a plurality of electrocardiographic measurement electrodes, at least one inertial motion sensor and a signal receiving comparison module. The electrocardiographic measuring electrodes are attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal, and the at least one inertial motion sensor is disposed at a position corresponding to the heart valve to be measured. The at least one integrated area is configured to sense at least one acceleration measurement signal, and then the signal receiving comparison module respectively receives the electrocardiogram signal and the at least one acceleration measurement signal, and the ECG signal and the at least one acceleration Measuring the signal, converting the at least one acceleration measurement signal into at least one heartbeat signal, and then synchronizing, and generating at least one starting point on the at least one heartbeat signal by using the electrocardiogram signal, and receiving the comparison mode The algorithm extracts at least one feature point on the at least one heartbeat signal according to the at least one starting point, wherein the algorithm uses the starting point as a reference on the time axis of the at least one heartbeat signal. The ECG signal generates at least one corresponding point on the at least one heartbeat signal, and the at least one starting point and the at least one corresponding point are performed to the A feature point of capture.

本發明之一實施例中,其亦揭露該演算法係包含:以心電圖上之P波峰值於主動脈瓣心震圖訊號上產生一第一對應點,以心電圖上之R波峰值於主動脈瓣心震圖訊號上產生一第一起始點,於該第一起始點與該第一對應點之間擷取一最大峰值點,以該最大峰值點定義為二尖瓣心房收縮血流最大特徵點;或以心電圖上之T波峰值於主動脈瓣心震圖訊號上產生一第二對應點,於該第一起始點之後0.1秒至該第二對應點擷取一最大峰值點,以該最大峰值點定義為肺動脈瓣血流最大特徵點;以上其中之一者或其任意之組合。In an embodiment of the present invention, the algorithm further comprises: generating a first corresponding point on the aortic valve heartbeat signal by using a P wave peak on the electrocardiogram, and the R wave peak on the electrocardiogram is in the aorta A first starting point is generated on the heartbeat signal, and a maximum peak point is drawn between the first starting point and the first corresponding point, and the maximum peak point is defined as the maximum characteristic of the mitral atrial contraction blood flow Pointing; or generating a second corresponding point on the aortic valve heartbeat signal on the electrocardiogram, and extracting a maximum peak point from 0.1 second to the second corresponding point after the first starting point, The maximum peak point is defined as the largest characteristic point of pulmonary valve blood flow; one of the above or any combination thereof.

此外,本發明亦揭示了一種心臟搏動生理之量測系統,該系統包含複數個心電圖量測電極、至少一慣性運動感測器及一訊號接收比對模組。其中該些心電圖量測電極係貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號,同時該至少一慣性運動感測器係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號,而後,該訊號接收比對模組分別接收該心電圖訊號及該至少一加速度量測訊號,並將該心電圖訊號及該至少一加速度量測訊號,將該至少一加速度量測訊號轉換成至少一心震圖訊號後再進行同步,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,該訊號接收比對模組以一演算法依據該起始點於該至少一心震圖訊號上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率。In addition, the present invention also discloses a heart beat physiological measurement system, which comprises a plurality of electrocardiographic measurement electrodes, at least one inertial motion sensor and a signal receiving comparison module. The electrocardiographic measuring electrodes are attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal, and the at least one inertial motion sensor is disposed at a position corresponding to the heart valve to be measured. The at least one integrated area is configured to sense at least one acceleration measurement signal, and then the signal receiving comparison module respectively receives the electrocardiogram signal and the at least one acceleration measurement signal, and the ECG signal and the at least one acceleration Measuring the signal, converting the at least one acceleration measurement signal into at least one heartbeat signal, and then synchronizing, and using the electrocardiogram signal to generate at least one starting point on the at least one heartbeat signal, the signal receiving comparison module Obtaining at least two feature points on the at least one heartbeat signal according to the starting point by an algorithm, obtaining a time difference or a section slope of the at least two feature points.

本發明之一實施例中,其亦揭露該些特徵點係選自於一二尖瓣心房收縮血流最大特徵點、一側壁心肌收縮最大速度特徵點、一主動脈瓣血流最大特徵點、一中膈心肌收縮最大速度特徵點、一肺動脈瓣血流最大特徵點中之一者或其任意之組合。In an embodiment of the present invention, it is also disclosed that the feature points are selected from a maximum feature point of a mitral atrial contraction blood flow, a side wall myocardial contraction maximum velocity feature point, and an aortic valve blood flow maximum feature point. One of the maximum velocity characteristic points of myocardial contraction, one of the largest characteristic points of pulmonary valve blood flow, or any combination thereof.

本發明之一實施例中,其亦揭露該至少二特徵點之該區間斜率係為血流速度出現遞增段之斜率或血流速度出現遞減段之斜率。In an embodiment of the present invention, it is also disclosed that the slope of the interval of the at least two feature points is a slope of an increasing segment of the blood flow velocity or a slope of a decreasing segment of the blood flow velocity.

本發明之一實施例中,其亦揭露演算法係包含:於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞增速率;於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞減速率;於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞增速率;於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞減速率;於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞增速率;或於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞減速率;以上其中之一者或其任意之組合。In an embodiment of the present invention, the algorithm further comprises: capturing a maximum feature point of the mitral atrial constricted blood flow and a trough point before the feature point on the at least one heartbeat signal, and calculating two points The slope of the connection is used as an increasing rate of blood flow velocity of the mitral valve; the maximum characteristic point of the mitral atrial constricted blood flow and one trough point after the characteristic point are obtained on the at least one cardiac image signal, and two points are calculated. The slope of the connection is used as the deceleration rate of the mitral valve blood flow velocity; the maximum characteristic point of the aortic valve atrial constricted blood flow and one of the trough points before the characteristic point are obtained on the at least one cardiac image signal, and two points are calculated. The slope of the connection is used as an increasing rate of aortic valve blood flow velocity; the maximum characteristic point of the aortic valve atrial contraction blood flow and one trough point after the characteristic point are obtained from the at least one cardiac image signal, and two points are calculated. The slope of the connection is used as the deceleration rate of the aortic valve blood flow velocity; the maximum characteristic point of the atrial systolic blood flow of the pulmonary valve and the trough point before the characteristic point are captured on the at least one cardiac image signal Calculating the slope of the two-point line as an increasing rate of pulmonary valve blood flow velocity; or extracting the maximum characteristic point of the pulmonary valve atrial constricted blood flow and one of the trough points after the characteristic point on the at least one cardiac image signal, The slope of the two-point line is used as a deceleration rate of the pulmonary valve blood flow velocity; one of the above or any combination thereof.

為使 貴審查委員對本發明之特徵及所達成之功效有更進一步之瞭解與認識,謹佐以較佳之實施例及配合詳細之說明,說明如後:In order to provide a better understanding and understanding of the features and the efficacies of the present invention, the preferred embodiment and the detailed description are as follows:

在本發明中,針對目前以三尖瓣心震圖訊號進行心臟搏動狀態之量測方式,對於瓣膜運動狀態、心肌收縮強度及血液脈衝速度大小等現象的判讀上有準確度失準及豐富度不足的情況,提供一種新穎的心臟搏動生理量測系統。藉由此一系統,可於複數個特定位置接收複數個心震圖並形成一心震圖譜,並利用此一圖譜獲取更能反映瓣膜運動狀態、心肌收縮強度及血液脈衝速度大小等生理狀態之特徵點及特徵參數,以提高心震圖之量測準確率,同時藉由比對複數個不同的心震圖能獲取更為準確之特徵點時間差,以對特定瓣膜之作動狀態進行更進一步之監測;另外,本發明所提供之心臟搏動生理量測系統,已進一步與心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫之資訊進行結合,因此藉由比對量測獲得之心震圖訊號與既有之結合資訊不僅可以提供更為準確之量測結果,亦可將昂貴且不方便攜帶之超音波監測儀器以較為輕便之形式運用於日常檢測之中。In the present invention, in view of the current measurement of the heartbeat state by the tricuspid heartbeat signal, the accuracy of the valve movement state, myocardial contraction strength and blood pulse velocity is misaligned and rich. Insufficient circumstances provide a novel cardiac pulsation physiological measurement system. By means of this system, a plurality of cardiac maps can be received at a plurality of specific locations and a cardiac map can be formed, and the characteristics of physiological states such as valve motion state, myocardial contraction strength and blood pulse velocity can be obtained by using the map. Points and characteristic parameters to improve the accuracy of the heartbeat map, and by comparing a plurality of different psychocardiograms to obtain a more accurate time difference of the feature points, to further monitor the actuation state of the specific valve; In addition, the heartbeat physiological measurement system provided by the present invention has further combined the information of the heartbeat state database established by the plurality of feature points obtained by the comparison of the heart rate map, the electrocardiogram and the cardiac ultrasound, thereby The combination of the heartbeat signal and the existing information obtained by the measurement can not only provide more accurate measurement results, but also can be used in daily inspections with expensive and inconvenient ultrasonic monitoring instruments. .

因此,本發明提供一新穎的心臟搏動生理之量測系統,其藉由於複數個心臟震動源設置加速度感測裝置,量測多組加速度感測訊號以獲得複數個心震圖訊號,藉由於不同心臟震動源直接監測其心震圖訊號並加以同時監測之方式,克服於單一位置量測容易因時間延遲、訊號衰減而造成心臟搏動量測不夠準確之缺點,同時藉由比對不同心臟震動源獲得之心震圖訊號,能以更直接且準確的訊號進行心臟搏動生理反應之判讀,增加心臟生理監測的準確度,另外,藉由提供內建有與心臟超音波資訊結合之心震圖資料庫,與以複數個心臟震動源獲得之心震圖進行辨識比對,不僅可辨識更多僅由心電圖及心震圖進行量測時量測不到的生理特徵,亦可於不須超音波檢查的情況下,作為辨識心臟辦膜開閉、心肌收縮及血流脈衝等生理現象是否異於常模之系統。Therefore, the present invention provides a novel heartbeat physiology measuring system, which is provided with a plurality of sets of acceleration sensing signals to obtain a plurality of heartbeat signals by means of a plurality of cardiac vibration sources. The heart vibration source directly monitors the heartbeat signal and monitors it at the same time, overcoming the shortcomings of single position measurement, which is easy to be accurate due to time delay and signal attenuation, and is obtained by comparing different cardiac vibration sources. The heartbeat signal can be used to interpret the heartbeat physiological response with more direct and accurate signals, increase the accuracy of cardiac physiological monitoring, and provide a heartbeat database with built-in ultrasound information combined with cardiac ultrasound. Compared with the cardiogram obtained from a plurality of cardiac vibration sources, it can not only identify more physiological features that can only be measured by ECG and heart map, but also without ultrasonic examination. In the case, it is a system for identifying whether the physiological phenomenon such as opening and closing of the heart, myocardial contraction, and blood flow pulse is different from the normal mode.

以下針對本發明之心臟搏動生理之量測系統所包含之元件、性質及其設置方式進行進一步之說明:The components, properties, and manners of the heartbeat physiology measurement system of the present invention are further described below:

請參照第一圖及第二圖,其係本發明之第一實施例之心臟搏動生理之量測系統的量測裝置結構示意圖及電路方塊示意圖,如圖所示,本發明提供一種心臟搏動生理之量測系統,其裝置包含有複數個心電圖量測電極20,貼附於一受測者10身上之複數個量測部位以感測及產生一心電圖訊號,另外,至少一慣性運動感測器30,其係設置於受測者10對應心臟瓣膜位置之至少一體表區域用以感測至少一加速度量測訊號,該些複數個心電圖量測電極20係與該至少一慣性運動感測器30同時連接有一第一訊號接收比對模組40,當該心電圖訊號及該加速度量測訊號傳送至該第一訊號接收比對模組40後,該至少一加速度量測訊號形成至少一心震圖訊號,且該至少一心震圖訊號將與該心電圖訊號之時序進行同步,同時該心電圖訊號於該至少一心震圖訊號上產生一起始點,利用與心臟超音波比對完成之一第一資料庫401配合該起始點,可自該些心震圖上擷取至少一特徵點,其中,該系統所使用之第一資料庫401係為心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫。Please refer to the first figure and the second figure, which are schematic structural diagrams and circuit blocks of the measuring device of the cardiac pulsation physiological measuring system according to the first embodiment of the present invention. As shown in the figure, the present invention provides a cardiac pulsating physiology. The measuring system includes a plurality of electrocardiographic measuring electrodes 20 attached to a plurality of measuring portions of a subject 10 to sense and generate an electrocardiogram signal, and at least one inertial motion sensor 30. The system is disposed at least one integrated surface area corresponding to the position of the heart valve of the subject 10 for sensing at least one acceleration measurement signal, and the plurality of electrocardiographic measurement electrodes 20 and the at least one inertial motion sensor 30 The first signal receiving comparison module 40 is connected to the first signal receiving comparison module 40. After the ECG signal and the acceleration measuring signal are transmitted to the first signal receiving comparison module 40, the at least one acceleration measuring signal forms at least one heartbeat signal. And the at least one heartbeat signal is synchronized with the timing of the ECG signal, and the ECG signal generates a starting point on the at least one heartbeat signal, The first ultrasound database 401 is matched with the starting point, and at least one feature point can be extracted from the cardiac image. The first database 401 used by the system is a cardiac shock. The heartbeat state database established by the plurality of feature points obtained by the comparison of the electrocardiogram and the cardiac ultrasound.

如本發明之第一實施例之心臟搏動生理之量測系統,其中,該些心電圖量測電極20係設置於一肢導體表量測區域上,用以導入電流,藉以量測心臟之心搏週期中,去極化波動自竇房結細胞傳遞至心房,再經由內傳導通路傳遞至心室之過程,紀錄於該些電極之間所感測到之微小的電壓變化,做為該電壓量測訊號。該些心電圖量測電極20適合設置之位置,一般而言約有十處左右,然而於實際操作時係會依據不同的導聯(lead)需求而進行該些心電圖量測電極20的設置,其中,較佳者係為三處肢導極位置設置,其包含一右手部RA、一左手部LA及一左腳部LL,更佳者係位於手腕及腳踝上緣,如於第一圖僅所繪示相對位置,並不以此為限。此外,該些心電圖量測電極20獲得該些電壓訊號之後,可藉由降噪及濾波之功能篩選形成心電圖訊號所需之頻率數,或進一步依據需要的條件以調整頻率之擷取範圍,例如在進行監測的情況時,可將訊號擷取之高頻界限及低頻界限設置較窄的擷取範圍,避免雜訊之不必要干擾,反之,當在進行診斷的時候,則可將訊號擷取之高頻界限及低頻界限的擷取範圍拉寬,以接收較多的訊號值進而掌握更細微的心臟搏動變化。According to the first embodiment of the present invention, the electrocardiographic measurement electrode 20 is disposed on a limb conductor measurement area for introducing a current to measure the heart beat of the heart. During the cycle, depolarization fluctuations are transmitted from the sinus node cells to the atria, and then transmitted to the ventricles via the internal conduction pathway, and the minute voltage changes sensed between the electrodes are recorded as the voltage measurement signal. . The electrocardiographic measuring electrodes 20 are suitable for the position of the setting, generally about ten places. However, in actual operation, the electrocardiographic measuring electrodes 20 are set according to different lead requirements, wherein Preferably, it is a three-limb guide position setting, which includes a right hand RA, a left hand LA and a left foot LL, and the better one is located on the upper edge of the wrist and the ankle, as shown in the first figure. The relative position is not limited to this. In addition, after obtaining the voltage signals, the electrocardiographic measuring electrodes 20 can filter the number of frequencies required to form the electrocardiogram signal by using the functions of noise reduction and filtering, or further adjust the frequency capturing range according to the required conditions, for example, In the case of monitoring, the high frequency limit and low frequency limit of the signal capture can be set to a narrower range to avoid unnecessary interference of noise. Conversely, when the diagnosis is made, the signal can be captured. The high frequency limit and the low frequency limit are widened to receive more signal values and to grasp more subtle heart beat changes.

如本發明之第一實施例之心臟搏動生理之量測系統,其中,該些慣性運動感測器30係具有加速規晶片之感測器,常見之種類包含壓阻式加速規晶片、電容式加速規晶片、壓電式加速規晶片及共振式加速規晶片,該些加速規晶片係藉由設置於心臟周邊,用以擷取心臟周邊身體表面因心臟之心搏週期所產生之加速度變化,其中該些加速度變化係源自於心臟瓣膜開閉、心肌收縮及心臟血管壓縮等因為心臟搏動而產生之生理狀態,其所連帶產生之震動,藉由收集該些震動所產生的加速度訊號可進一步形成一加速度變化之連續圖形,該加速度變化之連續圖形可稱之為心震圖(Mechanocardiography, MCG),或稱心動圖(Ballistocardiograph, BEG),所產生之心震圖經由輔助判斷可用以代表心搏週期之生理狀態之用。The heartbeat physiology measuring system according to the first embodiment of the present invention, wherein the inertial motion sensors 30 are sensors having an accelerometer chip, and the common types include piezoresistive accelerometer chips and capacitors. An accelerometer chip, a piezoelectric accelerometer chip, and a resonant accelerometer chip, which are disposed around the heart to capture acceleration changes caused by the cardiac cycle of the heart around the heart. The acceleration changes are caused by heart valve opening and closing, myocardial contraction, and cardiac vascular compression. The vibration caused by the heart beats, and the vibration generated by the vibration can be further formed by collecting the acceleration signals generated by the vibrations. A continuous pattern of acceleration changes, the continuous pattern of acceleration changes can be called a Mechano cardiography (MCG), or a cardiogram (Beglistocardiograph, BEG), and the generated heart map can be used to represent the heart beat through auxiliary judgment. The physiological state of the cycle.

承續上段所述,該些慣性運動感測器30之設置位置,其較佳可設置於心臟所具有之四個心臟瓣膜所對應之體表區域,該些體表區域包含:由胸骨左緣第二肋向右橫過胸骨柄,擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域11;由胸骨右緣第五肋間,擴展至腋後線之二尖瓣體表區域12;由胸骨左緣第二肋間為中心,向上擴至第一肋間、左鎖骨下區,向下至胸骨左緣第三肋間之肺動脈瓣體表區域13;以及由胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域14,但該些慣性運動感測器30之設置位置並不以此為限。As described in the above paragraph, the positions of the inertial motion sensors 30 are preferably disposed on the body surface area corresponding to the four heart valves of the heart, and the body surface areas include: the left edge of the sternum The second rib extends across the sternum stem to the right, extending to the aortic valve surface region 11 between the second and third intercostals of the right sternal border; and extending from the fifth intercostal space of the right sternal border to the mitral valve surface region 12 of the posterior tibial line Centered on the second intercostal space of the left sternal border, extending upward to the first intercostal space, the left subclavian area, down to the third intercostal space of the third intercostal sternal border; and the fourth and fifth intercostal space from the right sternal border The tricuspid valve surface area 14 is expanded to the right, but the positions of the inertial motion sensors 30 are not limited thereto.

如本發明之第一實施例之心臟搏動生理之量測系統,其中,該第一訊號接收比對模組40係設置有至少一微處理器,其係用以進行該心電圖訊號及至少一加速度量測訊號之處理,其中,該第一訊號接收比對模組40可針對該些心電圖量測電極20所傳遞之該心電圖訊號進行PQRST的波峰點或波谷點之擷取,較佳為針對該心電圖訊號之P波、R波及T波進行擷取,同時從該至少一慣性運動感測器30傳輸而來之該至少一加速度量測訊號中,該第一訊號接收比對模組40會先將其轉換成至少一心震圖訊號,而後比對與該心電圖訊號P波同一時間監測得之至少一心震圖訊號,作為該至少一心震圖訊號判讀之一起始點,並以與心電圖訊號T波同一時間監測得之該至少一心震圖訊號做為一結束點,形成一同步區間,作為該連續加速度訊號(心震圖訊號)及該心電圖訊號同步之依據,並將兩訊號進行同步以進行後續比對之用。According to the first embodiment of the present invention, the first signal receiving and analysing module 40 is provided with at least one microprocessor for performing the electrocardiogram signal and at least one acceleration. The processing of the measurement signal, wherein the first signal receiving and comparing module 40 can perform the PQRST peak or valley point for the electrocardiogram signal transmitted by the electrocardiographic measuring electrodes 20, preferably for the The P wave, the R wave, and the T wave of the electrocardiogram signal are captured, and the first signal receiving comparison module 40 is firstly received from the at least one acceleration measuring signal transmitted from the at least one inertial motion sensor 30. Converting it into at least one heartbeat signal, and then comparing at least one heartbeat signal monitored at the same time as the P-wave of the electrocardiogram signal, as a starting point of the at least one heartbeat signal interpretation, and the T wave with the electrocardiogram signal The at least one heartbeat signal monitored at the same time serves as an end point, forming a synchronization interval as a basis for synchronizing the continuous acceleration signal (cardiac signal) and the ECG signal, and The two signals are synchronized for subsequent comparison.

承續上段所述,該第一訊號接收比對模組40進一步與一第一資料庫401進行連結,使第一訊號接收比對模組40同步化該至少一心震圖訊號及該心電圖訊號後,得以自該第一資料庫401取得一心震圖資料就該些同步化之訊號進行比對,其中,該心震圖資料係載有心震圖、心電圖與心臟超音波比對後所獲得之複數個特徵點,及該些特徵點所代表之心臟搏動生理意義。該第一訊號接收比對模組40利用該第一資料庫401之資料與同步化之該至少一心震圖訊號及該心電圖訊號進行比對,同時,以最接近特徵點或特徵參數發生位置之心震圖作為擷取對象,於比對之後自該至少一心震圖上擷取獲得至少一特徵點,以觀察該受測者之心臟搏動生理狀況。其中,該第一資料庫401與該第一訊號接收比對模組40連結之方式可係以晶片之形式與該第一訊號接收比對模組40連接,或係以一無線通訊之方式與該第一訊號接收比對模組40進行連結,但該第一資料庫401與該第一訊號接收比對模組40進行連結之方式並不以此為限。The first signal receiving and comparing module 40 is further connected to a first database 401, so that the first signal receiving and comparing module 40 synchronizes the at least one heartbeat signal and the ECG signal. And obtaining, by the first database 401, a cardiac image data for comparing the synchronized signals, wherein the cardiac image data is obtained by comparing the cardiac image, the electrocardiogram and the cardiac ultrasound. The feature points, and the physiological significance of the heart beat represented by the feature points. The first signal receiving comparison module 40 compares the data of the first database 401 with the synchronized at least one heartbeat signal and the ECG signal, and simultaneously generates a position with the closest feature point or characteristic parameter. The heart map is taken as a target, and at least one feature point is obtained from the at least one heart map after the comparison to observe the heartbeat physiological state of the subject. The first data library 401 and the first signal receiving comparison module 40 may be connected to the first signal receiving comparison module 40 in the form of a chip, or in a wireless communication manner. The first signal receiving comparison module 40 is connected, but the manner in which the first database 401 and the first signal receiving comparison module 40 are connected is not limited thereto.

如前述,本發明提供之該第一訊號接收比對模組40,其所連接之第一資料庫401係為一與心電圖與心臟超音波共同比對之心震圖資料及其定義出之複數個特徵點,所建立之心臟搏動狀態參考資料庫。該第一資料庫401之取得方法係將心電圖量測電極及加速度感測器所測得之心電圖訊號與心震圖訊號進行訊號同步之後,再與心臟超音波所獲得之量測訊號進行比對,藉由心臟超音波所代表之具有實質臨床意義之心臟搏動狀態,對該心震圖於對應時間點獲得之心臟搏動特徵點進行定義,並收集該些特徵點與所有訊號圖譜之相關資訊。As described above, the first signal receiving comparison module 40 provided by the present invention is connected to the first database 401 which is a cardiogram data which is compared with the electrocardiogram and the cardiac ultrasound, and the plural number defined by the same. Feature points, the established heartbeat state reference database. The method for obtaining the first database 401 is to synchronize the ECG signal measured by the electrocardiographic measuring electrode and the acceleration sensor with the heartbeat signal, and then compare with the measuring signal obtained by the cardiac ultrasonic wave. The heartbeat feature points obtained by the heartbeat map at the corresponding time points are defined by the cardiac pulsation state represented by the cardiac ultrasound, and the information about the feature points and all the signal maps is collected.

承續上段內容,請參照第三圖,其係本發明所提供之第一資料庫401特徵點取得方法之一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於此一實施例中,係藉由設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該第一慣性運動感測器接收於該主動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一主動脈心震圖訊號,其中該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上之一P波峰點及一R波峰點,並使該P波峰點及該R波峰點分別對應於該主動脈心震圖訊號產生一第一對應點及一第二對應點,且該第一心電圖訊號及該主動脈心震圖訊號之橫軸時間相依,最後擷取自該第一對應點至該第二對應點間之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,判定該最大峰值點即為一二尖瓣心房收縮血流最大特徵點。For the content of the above paragraph, please refer to the third figure, which is a characteristic point ratio of the heartbeat, electrocardiogram and cardiac ultrasound map in a preferred embodiment of the method for obtaining the feature points of the first database 401 provided by the present invention. For the schematic diagram, in this embodiment, a first inertial motion sensor is disposed on one of the aortic valve surface regions corresponding to the heart valve, and the first inertial motion sensor is received by the aortic valve body. The surface of the table is transmitted from the heart beat to the vibration of the body surface, and generates an aortic heartbeat signal. The aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum. At the same time, a first cardiac inductance measuring module is arranged to receive an electrophysiological signal of the heart beat on the measuring portion of the limb conductor, to generate a first electrocardiogram signal, and then to capture a P wave of the first electrocardiogram signal. a point and an R peak point, and the P peak point and the R peak point respectively corresponding to the aortic heartbeat signal generate a first corresponding point and a second corresponding point, and the first electrocardiogram signal and the main Arterial heartbeat The horizontal axis of the number is time dependent, and finally the maximum peak point from the first corresponding point to the second corresponding point is obtained. After obtaining a cardiac ultrasound map and confirming the comparison, determining the maximum peak point is The largest characteristic point of atrial systolic blood flow in a cusp.

承續上段內容,請參照第四圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該第一慣性運動感測器接收於該主動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一主動脈心震圖訊號,其中該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上之一P波峰點及一R波峰點,並使該R波峰點對應於該主動脈心震圖訊號產生一第二對應點,且該第一心電圖訊號及該主動脈心震圖訊號之橫軸時間相依,最後擷取自該第二對應點之後0.06秒內之一最小谷值點及於該最小谷值點後之一峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一側壁心肌收縮最大速度特徵點。For the content of the above paragraph, please refer to the fourth figure, which is a characteristic point of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature point of the first database 401 provided by the present invention. In another embodiment, a first inertial motion sensor can be disposed on an aortic valve surface region corresponding to the heart valve, and the first inertial motion sensor receives the aortic valve. The surface of the body surface is transmitted from the heart beat to the vibration of the body surface, and an aortic heartbeat signal is generated. The aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the right edge of the sternum. And a three-ribbed device, at the same time, a first cardiac inductance measuring module is arranged to receive an electrophysiological signal of the heart beat on the measuring portion of the limb conductor to generate a first electrocardiogram signal, and then one of the first electrocardiogram signals is captured. a peak point and an R peak point, and the R peak point corresponding to the aorta heartbeat signal generates a second corresponding point, and the first electrocardiogram signal and the horizontal axis of the aortic heartbeat signal are time dependent, Final capture a minimum valley point within 0.06 seconds after the second corresponding point and a peak point after the minimum valley point, after obtaining a cardiac ultrasound map and confirming the alignment, the peak point indicates a side wall myocardial contraction Maximum speed feature point.

承續上段內容,請參照第五圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該第一慣性運動感測器接收於該主動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一主動脈心震圖訊號,其中該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該心電圖上一R波峰點,並使該R波峰點對應於該主動脈心震圖訊號產生一第二對應點,且該第一心電圖訊號及該主動脈心震圖訊號之橫軸時間相依,最後擷取自該第二對應點之後0.07秒至0.1秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一主動脈瓣血流最大特徵點。For the content of the above paragraph, please refer to the fifth figure, which is a characteristic point of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature point of the first database 401 provided by the present invention. In another embodiment, a first inertial motion sensor can be disposed on an aortic valve surface region corresponding to the heart valve, and the first inertial motion sensor receives the aortic valve. The surface of the body surface is transmitted from the heart beat to the vibration of the body surface, and an aortic heartbeat signal is generated. The aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the right edge of the sternum. And a three-ribbed device, at the same time, a first cardiac inductance measuring module is configured to receive an electrophysiological signal of the heart beat on the measurement area of the limb conductor, generate a first electrocardiogram signal, and then extract an R peak point on the electrocardiogram, and Corresponding to the aortic heartbeat signal to generate a second corresponding point, and the first electrocardiogram signal and the horizontal axis of the aorta heartbeat signal are time dependent, and finally the second corresponding point is obtained. After 0.07 The maximum peak point to one of 0.1 seconds, after obtaining a map of the heart and comparing ultrasound confirmed that the maximum peak point represents a point wherein the maximum aortic blood flow.

承續上段內容,請參照第六圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該第一慣性運動感測器接收於該主動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一主動脈心震圖訊號,其中該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,擷取該第一心電圖訊號上之一R波峰點及一T波峰點,使該R波峰點及該T波峰點分別對應於該主動脈心震圖訊號產生一第二對應點及一第三對應點,且該第一心電圖訊號及該主動脈心震圖訊號之橫軸時間相依,最後擷取自該第三對應點之後0.07秒至0.1秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一肺動脈瓣血流最大特徵點。For the content of the above paragraph, please refer to the sixth figure, which is a preferred embodiment of the method for obtaining the feature points of the first database 401 provided by the present invention, and the characteristic point ratio of the heartbeat, electrocardiogram and cardiac ultrasound maps. For another embodiment, a first inertial motion sensor can be disposed on an aortic valve surface region corresponding to a heart valve, and the first inertial motion sensor receives the aortic valve body. The surface of the table is transmitted from the heart beat to the vibration of the body surface, and generates an aortic heartbeat signal. The aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum. At the same time, a first cardiac inductance measuring module is arranged to receive an electrophysiological signal of the heart beat on the measuring portion of the limb conductor to generate a first electrocardiogram signal, and one of the R peak points on the first electrocardiogram signal is captured. And a T peak point, wherein the R peak point and the T peak point respectively correspond to the aorta heartbeat signal to generate a second corresponding point and a third corresponding point, and the first electrocardiogram signal and the aortic heart Transverse signal The axis time is dependent, and finally one of the maximum peak points from 0.07 seconds to 0.1 seconds after the third corresponding point is obtained. After obtaining a cardiac ultrasound map and confirming the comparison, the maximum peak point represents a pulmonary valve blood flow. The largest feature point.

承續上段內容,請參照第七圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第二慣性運動感測器於對應心臟瓣膜之一肺動脈瓣體表區域,該第二慣性運動感測器接收於該肺動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一肺動脈心震圖訊號,其中該肺動脈瓣體表區域包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該肺動脈心震圖訊號產生一第四對應點,且該第一心電圖訊號及該肺動脈心震圖訊號之橫軸時間相依,最後擷取自該第四對應點之後0.07秒至0.1秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一中膈心肌收縮最大速度特徵點。For the content of the above paragraph, please refer to the seventh figure, which is a characteristic point of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature point of the first database 401 provided by the present invention. In another embodiment, a second inertial motion sensor can be disposed on a pulmonary valve surface region corresponding to one of the heart valves, and the second inertial motion sensor is received on the pulmonary valve surface table. The region is transmitted from the heart beat to the vibration of the body surface to generate a pulmonary artery heartbeat signal, wherein the pulmonary valve body surface region includes the second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region and extends downward. To the third intercostal space of the left edge of the sternum, a first cardiac inductance measuring module is arranged to receive the electrophysiological signal of the heart beat on the measurement area of the limb conductor to generate a first electrocardiogram signal, and then the first electrocardiogram signal is captured. And an R peak point, and the R peak point corresponding to the pulmonary artery heartbeat signal generates a fourth corresponding point, and the first ECG signal and the horizontal axis time of the pulmonary artery heartbeat signal Depending on, one of the maximum peak points from 0.07 seconds to 0.1 seconds after the fourth corresponding point is obtained. After obtaining a cardiac ultrasound map and confirming the comparison, the maximum peak point indicates the maximum speed of myocardial contraction. Feature points.

承續上段內容,請參照第八圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第二慣性運動感測器於對應心臟瓣膜之一肺動脈瓣體表區域,該第二慣性運動感測器接收於該肺動脈瓣體表區域自心臟搏動傳遞至體表之震動,產生一肺動脈心震圖訊號,其中該肺動脈瓣體表區域包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,擷取該第一心電圖訊號上之一R波峰點,使該R波峰點對應於該肺動脈心震圖訊號產生一第四對應點,且該第一心電圖訊號及該肺動脈心震圖訊號之橫軸時間相依,最後擷取自該第四對應點之後0.085秒至0.15秒之時間區間內擷取之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一肺動脈瓣血流最大特徵點。For the content of the above paragraph, please refer to the eighth figure, which is another preferred embodiment of the method for obtaining the feature points of the first database 401 provided by the present invention, and the characteristic point ratio of the heart motion map, the electrocardiogram and the cardiac ultrasound map. For another embodiment, a second inertial motion sensor can be disposed on a pulmonary valve surface region corresponding to one of the heart valves, and the second inertial motion sensor is received in the pulmonary valve surface region. From the heartbeat to the vibration of the body surface, a pulmonary artery heartbeat signal is generated, wherein the pulmonary valve body surface region includes the second intercostal space of the left sternal border and extends upward to the first intercostal space, the left subclavian region and extends downward to The third intercostal space of the left sternal border is provided with a first cardiac inductance measuring module to receive an electrophysiological signal of the heart beat on the measurement area of the limb conductor, and generate a first electrocardiogram signal, which is captured on the first electrocardiogram signal. An R peak point, wherein the R peak point corresponds to the pulmonary artery heartbeat signal to generate a fourth corresponding point, and the first electrocardiogram signal and the horizontal axis of the pulmonary artery heartbeat signal are time dependent, most Taking the second peak point taken from the time interval of 0.085 seconds to 0.15 seconds after the fourth corresponding point, after obtaining a cardiac ultrasound map and confirming the comparison, the peak point represents a pulmonary valve blood flow The largest feature point.

承續上段內容,請參照第九圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第三慣性運動感測器於對應心臟瓣膜之一二尖瓣體表區域,該第三慣性運動感測器接收於該二尖瓣瓣體表區域自心臟搏動傳遞至體表之震動,產生一二尖瓣心震圖訊號,其中該二尖瓣體表區域包含胸骨右緣第五肋間擴展至腋後線,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上一R波峰點,並使該R波峰點對應於該二尖瓣心震圖訊號產生一第五對應點,且該第一心電圖訊號及該二尖瓣心震圖訊號之橫軸時間相依,最後擷取自該第五對應點之前0.02秒以外之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,判定該最大峰值點即為一二尖瓣心房收縮血流最大特徵點。For the content of the above paragraph, please refer to the ninth figure, which is a characteristic point of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature point of the first database 401 provided by the present invention. In another embodiment, a third inertial motion sensor can be disposed on a mitral valve surface region corresponding to one of the heart valves, and the third inertial motion sensor receives the mitral valve The surface of the valve body is transmitted from the heart beat to the vibration of the body surface, and generates a mitral heart motion signal, wherein the mitral valve surface region includes a fifth rib of the right sternal border extending to the posterior iliac line, and a first The cardiac inductance measuring module receives the electrophysiological signal of the heart beat on the measurement area of the limb conductor, generates a first electrocardiogram signal, and then extracts an R peak point of the first electrocardiogram signal, and corresponding the R peak point Generating a fifth corresponding point in the mitral heartbeat signal, and the first electrocardiogram signal and the horizontal axis time of the mitral heartbeat signal are dependent, and finally 0.02 seconds before the fifth corresponding point The second peak point, Obtaining a map and echocardiogram confirmed, it is determined that the maximum peak point is a feature point of maximum atrial contraction mitral blood comparison.

承續上段內容,請參照第十圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第三慣性運動感測器於對應心臟瓣膜之一二尖瓣體表區域,該第三慣性運動感測器接收於該二尖瓣瓣體表區域自心臟搏動傳遞至體表之震動,產生一二尖瓣心震圖訊號,其中該二尖瓣體表區域包含胸骨右緣第五肋間擴展至腋後線,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上一R波峰點,並使該R波峰點對應於該二尖瓣心震圖訊號產生一第五對應點,且該心電圖及該二尖瓣心震圖訊號之橫軸時間相依,最後擷取自該第五對應點之後0.05~0.11秒之間之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一側壁心肌收縮最大速度特徵點。For the content of the above paragraph, please refer to the tenth figure, which is a characteristic point of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature point of the first database 401 provided by the present invention. In another embodiment, a third inertial motion sensor can be disposed on a mitral valve surface region corresponding to one of the heart valves, and the third inertial motion sensor receives the mitral valve The surface of the valve body is transmitted from the heart beat to the vibration of the body surface, and generates a mitral heart motion signal, wherein the mitral valve surface region includes a fifth rib of the right sternal border extending to the posterior iliac line, and a first The cardiac inductance measuring module receives the electrophysiological signal of the heart beat on the measurement area of the limb conductor, generates a first electrocardiogram signal, and then extracts an R peak point of the first electrocardiogram signal, and corresponding the R peak point The fifth cusp of the mitral heartbeat signal generates a fifth corresponding point, and the ECG and the horizontal axis of the mitral heartbeat signal are time dependent, and finally between 0.05 and 0.11 seconds after the fifth corresponding point One of the largest peak points Echocardiography After a confirmation pattern and ratio of the peak point represents a maximum lateral myocardial contraction speed feature point.

承續上段內容,請參照第十一圖,其係本發明所提供之第一資料庫401特徵點取得方法之另一較佳實施例中,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖,於另一實施例中,可藉由設置一第四慣性運動感測器於對應心臟瓣膜之一三尖瓣體表區域,該第四慣性運動感測器接收於該三尖瓣體表區域自心臟搏動傳遞至體表之震動,產生一三尖瓣心震圖訊號,其中該三尖瓣體表區域包含胸骨右緣第四、五肋間向右擴展,同時設置一第一心電感測模組於一肢導體表量測區域上接收心臟搏動之電生理訊號,產生一第一心電圖訊號,接著擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該三尖瓣心震圖訊號產生一第六對應點,且該第一心電圖訊號及該三尖瓣心震圖訊號之橫軸時間相依,最後擷取自該第六對應點之後0.05秒至0.11秒內之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一中膈心肌收縮最大速度特徵點。For the content of the above paragraph, please refer to the eleventh figure, which is a characteristic of the heartbeat, electrocardiogram and cardiac ultrasound map in another preferred embodiment of the method for obtaining the feature points of the first database 401 provided by the present invention. In another embodiment, a fourth inertial motion sensor can be disposed on a tricuspid valve surface region corresponding to one of the heart valves, and the fourth inertial motion sensor receives the three-pointed sensor. The surface of the valve body is transmitted from the heart beat to the vibration of the body surface, and generates a tricuspid heart motion signal, wherein the tricuspid valve surface region includes the fourth and fifth ribs of the right sternal border extending to the right, and a first The cardiac inductance measuring module receives the electrophysiological signal of the heart beat on the measurement area of the limb conductor, generates a first electrocardiogram signal, and then extracts one R peak point on the first electrocardiogram signal, and makes the R peak point Corresponding to the tricuspid heartbeat signal, a sixth corresponding point is generated, and the first electrocardiogram signal and the horizontal axis of the tricuspid heartbeat signal are dependent on each other, and finally the second corresponding point is 0.05 seconds. The second peak to 0.11 second At the point of value, after obtaining a cardiac ultrasound map and confirming the alignment, the maximum peak point represents a maximum velocity characteristic point of myocardial contraction.

歸納上述實施例之特徵點取得方法,其利用心電圖量測電極及加速度感測器所測得之心電圖訊號與心震圖訊號進行訊號同步之後,再與心臟超音波所獲得之量測訊號進行比對,獲得血液流經瓣膜最大量及心肌收縮最大值等心臟搏動狀態於心震圖特徵點之對應關係,然而,本發明所提供之特徵點取得方法其可定義之特徵點並不限定於此,舉凡心臟瓣膜之開啟與閉合,或血液流經瓣膜最小量等心臟搏動狀態,皆可藉由本發明所提供之特徵點取得方法進行定義並納入資料庫的收集之中。The feature point obtaining method of the above embodiment is summarized, wherein the ECG signal measured by the electrocardiographic measuring electrode and the acceleration sensor is synchronized with the heartbeat signal, and then compared with the measuring signal obtained by the cardiac ultrasonic wave. The corresponding relationship between the heartbeat state of the blood flow through the maximum amount of the valve and the maximum myocardial contraction is obtained in the heartbeat feature point. However, the feature points of the feature point obtaining method provided by the present invention are not limited thereto. The heartbeat state of the heart valve opening and closing, or the minimum amount of blood flowing through the valve can be defined by the feature point acquisition method provided by the present invention and included in the collection of the database.

以下針對本發明所提供之心臟搏動生理量測系統,依據其資料庫與現有技術所具有之差異進行更進一步之說明,請參照第十二A圖及第十二B圖,其係單獨之三尖瓣膜心震圖訊號及本發明所提供之四個心臟瓣膜心震圖訊號,其量測訊號圖及其特徵點擷取之示意圖,如第十二A圖所示,三尖瓣膜之對應體表區域所量測之心震圖訊號係為目前現有技術最為常見之心震圖訊號類型,藉由其所具有之峰值點及峰谷點可就主動脈瓣膜開啟、主動脈瓣膜關閉、二尖瓣瓣膜開啟等心臟搏動狀態進行定義,然而,如第十二B圖所示,目前仍有許多之心臟搏動狀態特徵點無法於三尖瓣心震圖訊號中以峰值點及峰谷點的方式進行呈現,但這些心臟搏動狀態特徵點卻可於其他瓣膜所量測到的心震圖訊號中明顯地被呈現出來,例如前述自該肺動脈瓣心震圖訊號比對獲得之肺動脈瓣血流最大特徵點、自該二尖瓣心震圖訊號比對獲得之側壁心肌收縮最大速度特徵點、自該二尖瓣心震圖訊號比對獲得之二尖瓣血流最大特徵點、自該三尖瓣心震圖訊號比對獲得之中膈心肌收縮最大速度特徵點及自該主動脈瓣心震圖訊號比對獲得之主動脈瓣血流最大特徵點等,多係坐落於三尖瓣心震圖中波峰至波谷之過渡區段或係於過度密集之波峰區等,因此三尖瓣心震圖訊號無法就該些心臟搏動狀態特徵點進行判別,或有進行判別時錯誤率高的情況;此外,現有技術下三尖瓣心震圖訊號所量測而得之心臟搏動狀態特徵點係於單一位置量測所有心臟搏動之生理狀態,因此當發生於離三尖瓣較遠位置之心搏搏動生理狀態產生訊號傳遞至三尖瓣對應之體表位置時,將會因為距離因素導致量測時間的延遲或訊號強度削弱的情況,同樣導致判斷誤差之產生,如主動脈瓣膜開啟及閉合之特徵點或二尖瓣膜開啟及閉合之特徵點,目前皆係以三尖瓣膜心震圖訊號進行判斷及定義,然而三尖瓣膜心震圖訊號之判斷結果與實際狀況仍具有相當之誤差。鑑此,由於本發明所提供之心臟搏動生理量測系統,其係使用心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫,在心臟搏動生理監測上具有較高度之準確性,因此當藉由將該第一訊號接收比對模組40連接該第一資料庫401進行同步化之該至少一心震圖訊號及該心電圖訊號並進行訊號之比對時,可較現有之心臟搏動生理量測系統獲得出更多且更為準確之心臟搏動狀態特徵點。The following is a further description of the heartbeat physiological measurement system provided by the present invention according to the difference between the database and the prior art. Please refer to the twelfth A picture and the twelfth B picture, which are separate three The valvular heartbeat signal and the four heart valve heartbeat signals provided by the present invention, the measurement signal diagram and the schematic diagram of the characteristic point extraction thereof, as shown in the twelfth A diagram, the corresponding body of the tricuspid valve The heartbeat signal measured in the table area is the most common type of heartbeat signal in the prior art. With its peak points and peaks and valleys, the aortic valve opening, aortic valve closing, and apex can be performed. Cardiac pulsation states such as valve opening are defined. However, as shown in Figure 12B, there are still many heartbeat state feature points that cannot be peaked and peak-valley in the tricuspid heartbeat signal. Presenting, but these heartbeat state feature points can be clearly presented in the heartbeat signal measured by other valves, such as the pulmonary valve obtained from the pulmonary valve heartbeat signal comparison. The maximum characteristic point of blood flow, the characteristic point of maximal velocity of myocardial contraction obtained from the comparison of the signal of the mitral valve heartbeat, and the maximum characteristic point of mitral blood flow obtained from the comparison of the signal of the mitral heartbeat The tricuspid heartbeat signal is obtained by comparing the maximal velocity characteristic points of the myocardial contraction and the maximum characteristic point of the aortic valve blood flow obtained from the aortic valve heartbeat signal. In the heart-to-heart map, the transition from peak to trough is in an excessively dense peak region. Therefore, the tricuspid heartbeat signal cannot be judged on the characteristic points of the heart beat state, or the error rate is high when discriminating. In addition, the heartbeat state feature points measured by the prior art tricuspid heartbeat signal are measured at a single position to measure the physiological state of all heart beats, and thus occur when located far from the tricuspid valve. When the heartbeat physiological state produces a signal to the body surface position corresponding to the tricuspid valve, the delay of the measurement time or the weakening of the signal strength due to the distance factor also causes the judgment error to occur. The feature points of the aortic valve opening and closing or the feature points of the mitral valve opening and closing are currently judged and defined by the tricuspid valve heartbeat signal. However, the judgment result and actual condition of the tricuspid valve heartbeat signal There is still considerable error. In view of the above, the heartbeat physiological measurement system provided by the present invention is a heartbeat state database established by using a plurality of feature points obtained by comparing a heartbeat map, an electrocardiogram and a cardiac ultrasound, in the heartbeat physiological monitoring. Having a higher degree of accuracy, so that the at least one heartbeat signal and the ECG signal synchronized by the first data receiving and comparing module 40 are connected to the first data bank 401 and the signals are compared. At the same time, more and more accurate heartbeat state feature points can be obtained than the existing cardiac pulsation physiological measurement system.

進一步而言,本發明所提供之該第一資料庫401於該至少一心震圖訊號上擷取至少一特徵點之方法,可係為於該至少一心震圖訊號之時間軸上依該起始點進行特定時間之選取以獲得該至少一特徵點,或係以該第一資料庫401內所具有之一資料庫心震圖訊號與該至少一心震圖訊號進行疊合,並以複數個資料庫特徵點比對該至少一心震圖訊號上之一對應位置以獲得該至少一特徵點,但本發明所使用之擷取方法不應以此為限。Further, the first database 401 provided by the present invention may acquire at least one feature point on the at least one heartbeat signal, and may be based on the time axis of the at least one heartbeat signal. Selecting a specific time to obtain the at least one feature point, or overlapping the at least one heartbeat signal with one of the database heartbeat signals in the first database 401, and using a plurality of data The library feature point corresponds to a position corresponding to one of the at least one cardiogram signal to obtain the at least one feature point, but the method used in the present invention should not be limited thereto.

以下提供更進一步之臨床數據就本發明所提供之心臟搏動生理量測系統其使用之資料庫比對的方式及內容進行說明。請參閱第十三A圖及第十三B圖,其係為本發明所提供之心臟搏動生理量測系統對正常人及心臟病患之心電圖訊號及於二尖瓣膜體表區域所量測之二尖瓣心震圖訊號。如圖所示,本發明所提供之心臟搏動生理量測系統可藉由於二尖瓣膜體表區域所量測之二尖瓣心震圖訊號對使用者之側壁心肌收縮最大速度特徵點及二尖瓣閉合時間進行觀察,以做為心臟搏動狀態之輔助判斷。將第十三A圖及第十三B圖進行比較後可進一步發現,正常人及心臟病患在二尖瓣心震圖訊號的比對上,其心電圖的R峰對應二尖瓣心震圖訊號之時間點與側壁心肌收縮最大速度特徵點之間的時間差(△T),瓣膜性心臟病之病患平均會較正常人多出2.5微秒(ms),同時,就側壁心肌收縮最大速度特徵點的振幅強度差(△A)而言,瓣膜性心臟病之病患平均亦較正常人低了5.3mG,顯見藉由本發明所提供之心臟搏動生理量測系統所擷取之特徵點,的確能比較出心臟搏動生理情況之異常,做為心臟搏動觀察監測之指標。Further clinical data is provided below to explain the manner and content of the database comparison using the heartbeat physiological measurement system provided by the present invention. Please refer to the thirteenth Ath and thirteenth Bth drawings, which are the electrocardiogram signals of the heart beat physiological measurement system provided by the present invention for normal people and heart diseases, and measured in the mitral valve body surface area. Mitral valve heartbeat signal. As shown in the figure, the cardiac pulsation physiological measurement system provided by the present invention can utilize the mitral valve heartbeat signal measured by the mitral valve body surface region to the maximum velocity characteristic point and the cusp of the myocardial contraction of the user's side wall. The flap closure time was observed as an aid to the judgment of the heart beat state. Comparing the 13th and 13th B pictures, it can be further found that the R-peak of the electrocardiogram corresponds to the mitral heart rate map of the normal person and the heart disease in the comparison of the mitral heartbeat signal. The time difference between the time point of the signal and the characteristic point of the maximal velocity of the myocardial contraction of the lateral wall (△T), the average patient of the valvular heart disease is 2.5 microseconds (ms) more than the normal person, and at the same time, the maximum speed of myocardial contraction of the lateral wall In terms of the amplitude intensity difference (ΔA) of the feature points, the average patient of the valvular heart disease is also 5.3 mG lower than that of the normal person, and the feature points acquired by the heartbeat physiological measurement system provided by the present invention are apparent. It is indeed possible to compare the abnormalities of the heartbeat physiology as an indicator of cardiac pulsation observation and monitoring.

請參照第十四圖,其係本發明之第一實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖,如圖所示,本發明提供之心臟搏動生理之量測系統,可進一步於設置有一傳輸單元50及一終端裝置60。該傳輸單元可與該第一訊號接收比對模組40連接,用以接收經由與第一資料庫401比對之後之比對結果、該心電圖訊號及該至少一心震圖訊號以進行資料傳輸,而該終端裝置60則係用以接收該傳輸單元50所傳輸之一資料,並進行該資料之呈現或進階處理。其中,該傳輸單元50係可藉由有線或無線之方式與該終端裝置60進行連接,鑑此,該傳輸單元50可係為一無線通訊晶片、一USB連接埠或一串列線路連接埠。又其中,該終端裝置60係藉由有線或無線之方式接收該傳輸單元50所傳輸的資料以進行影像呈現之裝置,藉由該終端裝置60,使用者可藉由文字化、數據化或圖形化之影像呈現可更為快速且詳細的了解本發明所提供之量測系統所獲得之結果,更甚者,本發明可藉由該終端裝置60所具有之微處理單元(未繪示),進一步對該傳輸單元50所傳輸的資料進行處理,包含進行數據比對、巨量分析、資料儲存或將資料上傳雲端系統等,使該量測系統所能達到的功能更為多元。Please refer to FIG. 14 , which is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the first embodiment of the present invention. As shown in the figure, the measurement of cardiac pulsation physiology provided by the present invention is shown. The system may further be provided with a transmission unit 50 and a terminal device 60. The transmission unit may be connected to the first signal receiving comparison module 40 for receiving the comparison result after the comparison with the first database 401, the ECG signal and the at least one heartbeat signal for data transmission. The terminal device 60 is configured to receive one of the data transmitted by the transmission unit 50, and perform rendering or advanced processing of the data. The transmission unit 50 can be connected to the terminal device 60 by wire or wirelessly. For example, the transmission unit 50 can be a wireless communication chip, a USB port, or a serial line port. In addition, the terminal device 60 is a device for receiving data transmitted by the transmission unit 50 by wire or wirelessly for image presentation, by which the user can use text, data or graphics. The image presentation can be obtained more quickly and in detail to obtain the results obtained by the measurement system provided by the present invention. Moreover, the present invention can be implemented by the micro processing unit (not shown) of the terminal device 60. Further processing the data transmitted by the transmission unit 50 includes performing data comparison, massive analysis, data storage, or uploading data to the cloud system, so that the functions of the measurement system can be more diverse.

藉由該傳輸單元50及該終端裝置60之設置,本發明所提供之心臟搏動生理量測系統可在較低的硬體要求下,搭配使用經由心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫,進行與心臟超音波量測具有同等效果之心震圖譜量測,意即,利用本發明所提供之心臟搏動生理量測系統,可提供使用者或醫師在毋需添購昂貴且笨重之心臟超音波量測儀器的情況下,於居家或地區醫療院所得以進行高精密度及高準確度之心臟搏動生理監測,以提高心臟功能輔助判斷系統之便利性,達到醫療普及化之目的。With the arrangement of the transmission unit 50 and the terminal device 60, the cardiac pulsation physiological measurement system provided by the present invention can be obtained by using a cardiogram, an electrocardiogram and a cardiac ultrasound comparison at a lower hardware requirement. The heartbeat state database established by the plurality of feature points performs the heartbeat map measurement having the same effect as the cardiac ultrasound measurement, that is, the heartbeat physiological measurement system provided by the present invention can be provided for use. High-precision and high-accuracy cardiac physiology monitoring is performed at home or regional hospitals to improve cardiac function-assisted judgment without the need to purchase expensive and cumbersome cardiac ultrasound measuring instruments. The convenience of the system achieves the goal of medical popularization.

請參照第十五圖,其係為本發明之第一實施例之心臟搏動生理之量測系統的穿戴裝置結構示意圖,如圖所示,該穿戴裝置包含一第一穿戴部70、一第二穿戴部80以及至少一連接單元90,其中該第一穿戴部70貼近使用者身體之一側包含有複數個心電圖量測電極20及至少一慣性運動感測器30,用以偵測該使用者之心電圖訊號及該加速度量測訊號,該第二穿戴部80包含一第一訊號接收比對模組40,其用以接收該些心電圖訊號及加速度量測訊號,利用心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫,進行訊號同步及特徵點之擷取;此外,該至少一連接單元之一端係連接該第一穿戴部70上之該些心電圖量測電極20及該至少一慣性運動感測器30,而另一端則係連接於該第一穿戴部80之該第一訊號接收比對模組40,藉以將量測而得之該些心電圖訊號及加速度量測訊號傳輸至該第一訊號接收比對模組40進行訊號同步及特徵點之比對。藉由將本發明所提供之心臟搏動生理量測系統結合穿戴裝置,得以始該量測系統達到隨時、隨地、隨動及隨身的生理監控目標,並能於居家照護中扮演異常預警及療效評估的重要角色,更為廣泛地運用於醫療照護的各個角落。Referring to FIG. 15 , which is a structural diagram of a wearable device of a cardiac pulsation physiological measurement system according to a first embodiment of the present invention, as shown, the wearable device includes a first wearing portion 70 and a second The wearing part 80 and the at least one connecting unit 90, wherein the first wearing part 70 is adjacent to the side of the user body, and includes a plurality of electrocardiographic measuring electrodes 20 and at least one inertial motion sensor 30 for detecting the user. The ECG signal and the acceleration measurement signal, the second wear unit 80 includes a first signal receiving comparison module 40 for receiving the electrocardiogram signal and the acceleration measurement signal, and using the heart rate map, the electrocardiogram and the heart Ultrasonic comparison of the plurality of feature points obtained by the plurality of feature points to perform signal synchronization and feature point capture; further, one of the at least one connection unit is connected to the first wear portion 70 The electrocardiographic measuring electrode 20 and the at least one inertial motion sensor 30 are connected to the first signal receiving comparison module 40 of the first wearing portion 80, so as to be measured ECG signals and acceleration measurement signal transmitted to the signal reception ratio of a first module 40 and the synchronization signal of the specific feature point. By combining the heartbeat physiological measurement system provided by the invention with the wearable device, the measurement system can be used to achieve the physiological monitoring target of anytime, anywhere, follow-up and carry-on, and can play an abnormal warning and therapeutic evaluation in the home care. The important role is more widely used in all corners of medical care.

以下,針對本發明所提供之另一種心臟搏動生理之量測系統及其方法進行說明,請參照第十六圖,其係本發明之第二實施例之心臟搏動生理之量測系統的量測裝置電路方塊示意圖,如圖所示,本實施例具有複數個心電圖量測電極20及至少一慣性運動感測器30就心臟生理狀態進行監測,其中,該些心電圖量測電極20及該至少一慣性運動感測器30之設置及其功能皆同於第一實施例,故於此不再贅述。Hereinafter, another cardiac pulsation physiological measurement system and method thereof according to the present invention will be described. Please refer to FIG. 16 , which is a measurement of a cardiac pulsation physiological measurement system according to a second embodiment of the present invention. Block diagram of the device circuit, as shown in the figure, the embodiment has a plurality of electrocardiographic measuring electrodes 20 and at least one inertial motion sensor 30 for monitoring the physiological state of the heart, wherein the electrocardiographic measuring electrodes 20 and the at least one The setting of the inertial motion sensor 30 and its functions are the same as those of the first embodiment, and thus will not be described herein.

請復參照第十六圖,本實施例所提供之一第二訊號接收比對模組41同樣設置有至少一微處理器,其用以進行該心電圖訊號及至少一加速度量測訊號之處理,其中,該第二訊號接收比對模組41進行將該至少一訊號加速度量測訊號整合成至少一心震圖訊號及將該至少一心震圖訊號及該心電圖訊號進行同步之步驟與第一實施例相同,故於此不再贅述,而該第二訊號接收比對模組41係進一步同時與一第二資料庫411進行連結,使該第二訊號接收比對模組41同步化該至少一心震圖訊號及該心電圖訊號後,得以自該第二資料庫411取得一心震圖資料與同步化之該至少一心震圖訊號及該心電圖訊號進行比對,同時,以最接近特徵點或特徵參數發生位置之心震圖作為擷取對象,自該些心震圖上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率。其中,該第二資料庫411與該第二訊號接收比對模組41連接之方式與第一實施例相同,於此亦不再贅述。Referring to FIG. 16 , the second signal receiving comparison module 41 provided in this embodiment is also provided with at least one microprocessor for processing the electrocardiogram signal and the at least one acceleration measuring signal. The second signal receiving comparison module 41 performs the steps of integrating the at least one signal acceleration measurement signal into at least one heartbeat signal and synchronizing the at least one heartbeat signal and the electrocardiogram signal with the first embodiment. The second signal receiving comparison module 41 is further connected to a second database 411, so that the second signal receiving comparison module 41 synchronizes the at least one heartbeat. After the signal signal and the ECG signal, the second data library 411 obtains a heart image data and synchronizes the at least one heartbeat signal and the ECG signal, and simultaneously takes the closest feature point or characteristic parameter. The position of the heart map is taken as the object of capturing, and at least two feature points are extracted from the heart maps to obtain a time difference or a section slope of the at least two feature points. The manner in which the second database 411 is connected to the second signal receiving comparison module 41 is the same as that in the first embodiment, and details are not described herein again.

承續上段所述,本實施例所提供之該第二訊號接收比對模組41,其連接之第二資料庫411係為一與心電圖與心臟超音波共同比對之心震圖資料及其定義出之複數個特徵點後,自該些心震圖上擷取至少二特徵點所獲得之一時間差或一區間斜率,藉由該至少二特徵點具有特定生理意義,而賦予該時間差或該區間斜率與心臟搏動生理狀態之關聯性,所建立之心臟搏動狀態參考資料庫。其中,該第二資料庫411之心震圖資料及其定義出之複數個特徵點取得方法係與第一實施例相同,故於此不加以贅述。As described in the above paragraph, the second signal receiving comparison module 41 provided in this embodiment is connected to the second database 411 as a heartbeat data which is compared with the electrocardiogram and the cardiac ultrasound. After defining a plurality of feature points, a time difference or a section slope obtained by extracting at least two feature points from the cardiograms, the time difference is given by the at least two feature points having a specific physiological significance The correlation between the slope of the interval and the physiological state of the heart beat, and the established reference data base of the heart beat state. The cardiogram data of the second database 411 and the plurality of feature point obtaining methods defined therein are the same as those of the first embodiment, and thus are not described herein.

承續上段所述,至少二特徵點所獲得之該時間差或該區間斜率,可因為選取之該至少二特徵點具有特定生理意義,而被賦予與心臟搏動生理狀態之關聯性,例如,當擷取之至少二特徵點係為二尖瓣膜開啟及二尖瓣膜關閉之特徵點時,兩特徵點所表示之時間差即係為二尖瓣膜開閉之所需時間。依據上述內容,該至少二特徵點所獲得之該時間差所表示之生理意義可係為瓣膜開啟到脈瓣血流最大時點經過時間、脈瓣血流最大時點到瓣膜關閉經過時間或瓣膜開啟到瓣膜關閉總時間,其進一步可包含:二尖瓣瓣膜開啟到二尖瓣瓣膜關閉總時間、三尖瓣瓣膜開啟到三尖瓣瓣膜關閉總時間、肺動脈瓣膜開啟到肺動脈瓣膜關閉總時間、主動脈瓣膜開啟到主動脈瓣膜關閉總時間、三尖瓣瓣膜關閉到肺動脈瓣膜開啟總時間、二尖瓣瓣膜關閉到主動脈瓣膜開啟總時間、二尖瓣瓣膜開啟到二尖瓣脈瓣血流最大時點經過時間、三尖瓣瓣膜開啟到三尖瓣脈瓣血流最大時點經過時間、主動脈瓣膜開啟到主動脈脈瓣血流最大時點經過時間、肺動脈瓣膜開啟到肺動脈脈瓣血流最大時點經過時間、二尖瓣脈瓣血流最大時點到二尖瓣瓣膜關閉經過時間、三尖瓣脈瓣血流最大時點到三尖瓣瓣膜關閉經過時間、肺動脈脈瓣血流最大時點到肺動脈瓣膜關閉經過時間或主動脈脈瓣血流最大時點到主動脈瓣膜關閉經過時間;而該至少二特徵點所獲得之區間斜率所表示之生理意義可係為血流速度出現遞增段之斜率或血流速度出現遞減段之斜率,其進一步可包含:二尖瓣膜血流速度出現遞增段、三尖瓣膜血流速度出現遞增段、肺動脈瓣膜血流速度出現遞增段、主動脈瓣膜血流速度出現遞增段、二尖瓣膜血流速度出現遞減段、三尖瓣膜血流速度出現遞減段、肺動脈瓣膜血流速度出現遞減段或主動脈瓣膜血流速度出現遞減段。According to the above paragraph, the time difference obtained by the at least two feature points or the slope of the interval may be related to the physiological state of the heartbeat because the selected at least two feature points have a specific physiological significance, for example, when When at least two feature points are characteristic points of mitral valve opening and mitral valve closure, the time difference represented by the two characteristic points is the time required for mitral valve opening and closing. According to the above, the physiological significance represented by the time difference obtained by the at least two feature points may be the time elapsed from the time when the valve is opened to the maximum blood flow of the valve, the time when the blood flow of the pulse is maximum, the time when the valve is closed, or the valve is opened to the valve. The total time of closure may further include: total time of mitral valve opening to mitral valve closure, total time of tricuspid valve opening to tricuspid valve closure, total time of pulmonary valve opening to pulmonary valve closure, aortic valve The time from opening to the time of aortic valve closure, total time of tricuspid valve closure to pulmonary valve opening, total time of mitral valve closure to aortic valve opening, and mitral valve opening to maximum mitral valve flow Time, the time from the opening of the tricuspid valve to the maximal blood flow of the tricuspid valve, the elapsed time from the time when the aortic valve opens to the maximum flow of the aortic valve, the time when the pulmonary valve opens to the maximum flow of the pulmonary valve, The time of mitral valve venous flow is maximum until the mitral valve is closed, and the tricuspid valvular blood flow is maximum. Point to the tricuspid valve closure elapsed time, the maximum time of pulmonary valvular blood flow to the time of pulmonary valve closure or the time when the aortic valve blood flow is maximum to the aortic valve closure elapsed time; and the interval obtained by the at least two feature points The physiological significance expressed by the slope may be the slope of the increasing segment of the blood flow velocity or the slope of the descending segment of the blood flow velocity, which may further include: an increasing segment of the mitral valve blood flow velocity, and an increase in the velocity of the tricuspid valve blood flow. Segmental, pulmonary valve blood flow velocity increased, aortic valve blood flow velocity increased, mitral valve blood flow velocity decreased, tricuspid valve blood flow velocity decreased, pulmonary valve blood flow velocity decreased or Aortic valve blood flow velocity showed a decreasing segment.

以下針對本發明所提供之第二實施例之該第二資料庫411與現有技術之差異進行更進一步之說明,如同於第一實施例時所述,三尖瓣膜之對應體表區域所量測之心震圖係為目前現有技術最為常見之心震圖類型,其雖已就部分心臟搏動狀態進行定義,但目前仍有許多心臟搏動狀態特徵點無法於三尖瓣心震圖中以峰值點及峰谷點的方式進行呈現,因此,其在選取具有生理意義之至少二特徵點以觀察心臟搏動狀態時,同樣對其應用性具有相當大的限制,相反地,本發明所提供之第二實施例當中,由於可利用於特定瓣膜位置獲得之心震圖量測訊號中,以最接近特徵點或特徵參數發生位置之心震圖作為擷取對象,擷取至少二特徵點獲得至少一時間差或一區段斜率,因此不僅能獲得更為精確的心臟搏動狀態量測,同時,也能偵測到埋沒於三尖瓣心震圖訊號中波峰至波谷之過渡區段或過度密集之波峰區段中之特徵點,提高觀察心臟搏動狀態的應用性。The difference between the second database 411 of the second embodiment provided by the present invention and the prior art is further described below. As described in the first embodiment, the corresponding body surface area of the tricuspid valve is measured. The heart map is the most common type of heartbeat in the prior art. Although some of the heartbeat states have been defined, there are still many heartbeat feature points that cannot be peaked in the tricuspid heartbeat. And the manner of peaks and valleys is presented. Therefore, when selecting at least two feature points having physiological significance to observe the heartbeat state, the applicability is also quite limited. Conversely, the second aspect provided by the present invention In the embodiment, the cardiogram image obtained by using the position of the specific valve or the characteristic parameter is taken as the object of acquisition, and at least two feature points are obtained to obtain at least one time difference. Or a segment slope, so not only can more accurate measurement of the heart beat state, but also the peak buried in the tricuspid heartbeat signal The transition section or trough and crest overly densely in the section of the feature point, to improve observe beating heart state.

請參照第十七圖,其係為本發明所提供之第二實施例之資料庫特徵點擷取暨比對示意圖,如圖所示,本發明所提供之第二實施例之該第二資料庫411可藉由於肺動脈瓣體表區域所量測到之肺動脈心震圖訊號,準確觀察到肺動脈瓣膜之開啟時間點及肺動脈瓣膜之閉合時間點,對比同一時間於三尖瓣膜體表區域所量測到之三尖瓣心震圖訊號僅能就肺動脈瓣膜開啟時間點進行擷取,本發明提供之資料庫所觀察之肺動脈瓣心震圖可明確地觀察到肺動脈瓣膜開闔所花費之時間,得以判斷肺動脈瓣膜於心臟搏動過程中的生理狀態是否異常。同樣的,本發明所提供之第二實施例之資料庫可藉由於二尖瓣體表區域所量測到之二尖瓣心震圖訊號,準確觀察到二尖瓣膜之開啟時間點及二尖瓣膜之閉合時間點,對比同一時間於三尖瓣膜體表區域所量測到之三尖瓣心震圖訊號,其無法就任何二尖瓣的開啟或閉合時間進行擷取,因此本發明提供之資料庫所觀察之二尖瓣心震圖訊號可明確地觀察到二尖瓣膜開闔所花費之時間,得以判斷肺動脈瓣膜於心臟搏動過程中的生理狀態是否異常,作為觀測心臟搏動整體生理狀態之依據。Please refer to FIG. 17 , which is a schematic diagram of the feature point extraction and comparison of the second embodiment provided by the present invention. As shown in the figure, the second data of the second embodiment provided by the present invention is shown. The library 411 can accurately observe the opening time of the pulmonary valve and the closing time of the pulmonary valve by the pulmonary heartbeat signal measured by the pulmonary valve surface area, and compare the same time in the tricuspid valve surface area. The measured tricuspid heartbeat signal can only be taken at the time of pulmonary valve opening, and the pulmonary valve heart image observed by the database provided by the present invention can clearly observe the time spent on pulmonary valve opening. It is possible to judge whether the physiological state of the pulmonary valve during the heartbeat is abnormal. Similarly, the database of the second embodiment provided by the present invention can accurately observe the opening time and the apex of the mitral valve by using the mitral valve heartbeat signal measured by the mitral valve surface region. At the time of closure of the valve, the tricuspid heartbeat signal measured at the same time in the surface region of the tricuspid valve is unable to extract any opening or closing time of the mitral valve, and thus the present invention provides The mitral valve heartbeat signal observed in the database can clearly observe the time taken for mitral valve sputum to determine whether the physiological state of the pulmonary valve during the heartbeat is abnormal, as an observation of the overall physiological state of the heart beat. in accordance with.

承續上段所述,本發明所提供之第二實施例不僅能在單一心震圖擷取至少二特徵點判斷心臟搏動過程中的生理狀態,其亦可在同時量測得的至少二心震圖訊號中各自擷取至少一特徵點,針對心臟搏動過程中瓣膜與瓣膜間的交互關係進行生理狀態之觀察。請復參照第十三圖,由於心臟搏動的過程中,依循血液流動的方向及過程,於左側心房心室的瓣膜運動應以[二尖瓣開啟à二尖瓣關閉à肺動脈瓣膜開啟à肺動脈瓣膜關閉à二尖瓣開啟]做為一個血液流動之循環,但由於三尖瓣心震圖訊號中僅能就二尖瓣及主動脈瓣膜開啟閉合之對應特徵點以峰值點及峰谷點的方式進行呈現,無法進一步獲得其他瓣膜於血液流動過程中開啟及閉合之相關資訊,故在此例中,其無法針對左側心房心室的瓣膜運動進行有效的監測;而在本發明所提供之心臟搏動生理之量測系統中,該量測系統可以取二尖瓣心震圖訊號與肺動脈瓣心震圖訊號進行二尖瓣膜關閉之時間點與肺動脈瓣膜開啟之時間點的擷取,以觀察二尖瓣關閉至肺動脈瓣膜開啟之間的時間差(T MC-PO),或係擷取肺動脈瓣膜關閉之時間點與二尖瓣膜開啟之時間點,以觀察肺動脈瓣膜關閉到二尖瓣開啟(T PC-MO)的時間差,以對特定瓣膜之運動暨血液流動狀態進行更進一步之監測,作為心臟搏動整體生理狀態之依據。 According to the above description, the second embodiment provided by the present invention can not only determine at least two feature points in a single cardiac image to determine the physiological state during the heartbeat, but also can simultaneously measure at least two heart attacks. At least one feature point is captured in each of the signal signals, and the physiological state of the interaction between the valve and the valve during the heartbeat is observed. Please refer to the thirteenth figure. Because of the direction and process of blood flow during the heartbeat, the valve movement in the left atrium should be [mitral valve opening à mitral valve closure à pulmonary valve opening à pulmonary valve closure à mitral valve opening] as a blood flow cycle, but because of the tricuspid heartbeat signal, only the corresponding feature points of the mitral valve and aortic valve opening and closing can be performed in the form of peak points and peaks and valleys. In the present case, it is impossible to obtain further information about the opening and closing of other valves during blood flow, so in this case, it is unable to effectively monitor the valve motion of the left atrial ventricle; and in the heartbeat physiology provided by the present invention In the measurement system, the measurement system can take the mitral valve heartbeat signal and the pulmonary valve heartbeat signal for the time point of the mitral valve closure and the time point of the pulmonary valve opening to observe the mitral valve closure. The time difference between the opening of the pulmonary valve (T MC-PO ), or the time point at which the pulmonary valve is closed and the time at which the mitral valve is opened. To observe the time difference from pulmonary valve closure to mitral valve opening (T PC-MO ), to further monitor the movement and blood flow status of specific valves as the basis for the overall physiological state of the heart beat.

歸納上述實施例,本發明所提供之時間差特徵參數可做為多種心臟搏動整體生理狀態之依據,然而其監測並不限與此,舉凡二尖瓣瓣膜開啟到二尖瓣瓣膜關閉總時間、三尖瓣瓣膜開啟到三尖瓣瓣膜關閉總時間、肺動脈瓣膜開啟到肺動脈瓣膜關閉總時間、主動脈瓣膜開啟到主動脈瓣膜關閉總時間、三尖瓣瓣膜關閉到肺動脈瓣膜開啟總時間、二尖瓣瓣膜關閉到主動脈瓣膜開啟總時間、二尖瓣瓣膜開啟到二尖瓣脈瓣血流最大時點經過時間、三尖瓣瓣膜開啟到三尖瓣脈瓣血流最大時點經過時間、主動脈瓣膜開啟到主動脈脈瓣血流最大時點經過時間、肺動脈瓣膜開啟到肺動脈脈瓣血流最大時點經過時間、二尖瓣脈瓣血流最大時點到二尖瓣瓣膜關閉經過時間、三尖瓣脈瓣血流最大時點到三尖瓣瓣膜關閉經過時間、肺動脈脈瓣血流最大時點到肺動脈瓣膜關閉經過時間或主動脈脈瓣血流最大時點到主動脈瓣膜關閉經過時間,皆係為本發明所提供之時間差特徵參數可擷取並進行監測之範圍。In summary of the above embodiments, the time difference characteristic parameter provided by the present invention can be used as a basis for a plurality of cardiac pulsations as a whole physiological state, however, the monitoring is not limited thereto, and the total time of the mitral valve opening to the mitral valve closing is limited. Total time from valvular valve closure to tricuspid valve closure, total time from pulmonary valve opening to pulmonary valve closure, total aortic valve opening to aortic valve closure, total tricuspid valve closure to total pulmonary valve opening, mitral valve Total time from valve closure to aortic valve opening, elapsed time from mitral valve opening to maximum mitral valve venous flow, tricuspid valve opening to tricuspid valvular blood flow maximal elapsed time, aortic valve opening The time to the maximum flow of blood to the aortic valve, the time when the pulmonary valve is open to the maximum flow of the pulmonary valve, the time of the mitral valve, the time of mitral valve closure, the time of mitral valve closure, and the tricuspid valve The maximum flow point to the time of tricuspid valve closure, the maximum blood flow to the pulmonary valve, to the closure of the pulmonary valve Occasional blood aortic pulse lobe point to the maximum elapsed time to close the aortic valve, the present invention is based are provided to retrieve the time difference between the characteristic parameters can be monitored and the scope of the.

以下請續參照第十八圖,其係為本發明所提供之第二實施例之該第二資料庫411區間斜率擷取示意圖,如圖所示,本發明所提供之第二實施例之該第二資料庫411,於一般現有技術所使用之三尖瓣心震圖訊號擷取方式相比,係可進一步對瓣膜之血流流經最大量之時間特徵點進行擷取,例如二尖瓣心房收縮血流最大特徵點、主動脈瓣血流最大特徵點或肺動脈瓣血流最大特徵點,皆可藉由該資料庫於至少一心震圖訊號中以波峰的形式進行擷取,當該資料庫擷取到代表目標瓣膜血流最大特徵點之一波峰值時,其同時亦會針對該波峰值之前一波谷值或該波峰值之後一波谷值進行擷取,並將該波峰值與該前一波谷值之間的區段定義為目標瓣膜血流速度出現遞增區段,該波峰值與該後一波谷值之間的區段定義為目標瓣膜血流速度出現遞減區段,而後對該目標瓣膜血流速度出現遞增區段之波峰值及波谷值進行直線斜率之計算,定義為目標瓣膜血流速度的遞增強度,反之,該目標瓣膜血流速度出現遞減區段之波峰值及波谷值之直線斜率,則定義為目標瓣膜血流速度的遞減強度。故本發明提供之該至少二特徵點之該區間斜率,較佳者,可係為二尖瓣膜血流速度出現遞增段、三尖瓣膜血流速度出現遞增段、肺動脈瓣膜血流速度出現遞增段、主動脈瓣膜血流速度出現遞增段、二尖瓣膜血流速度出現遞減段、三尖瓣膜血流速度出現遞減段、肺動脈瓣膜血流速度出現遞減段或主動脈瓣膜血流速度出現遞減段,但本發明並未限定於此。The following is a schematic diagram of the slope of the second database 411 of the second embodiment provided by the present invention. As shown in the figure, the second embodiment of the present invention provides The second database 411, in comparison with the tricuspid heartbeat signal acquisition method used in the prior art, can further extract the characteristic points of the blood flow of the valve through a maximum amount, such as a mitral valve. The maximum characteristic point of atrial contraction blood flow, the largest characteristic point of aortic valve blood flow or the maximum characteristic point of pulmonary valve blood flow can be obtained by using the database as a peak in at least one cardiac image signal. When the library reaches a peak value representing one of the largest characteristic points of the blood flow of the target valve, it also extracts a wave value before the peak of the wave or a wave value after the peak of the wave, and the peak value of the wave is compared with the former A segment between a wave trough is defined as an increasing segment of the target valve blood flow velocity, and a segment between the peak of the wave and the latter trough is defined as a descending segment of the target valve blood flow velocity, and then the target Valve blood The peak value of the peak value and the trough value of the increasing segment of the velocity is calculated as the increasing intensity of the blood flow velocity of the target valve. Conversely, the peak velocity of the peak and the trough value of the descending segment of the blood flow velocity of the target valve appears. It is then defined as the decreasing intensity of the target valve blood flow velocity. Therefore, the slope of the interval of the at least two feature points provided by the present invention is preferably an increasing segment of the mitral valve blood flow velocity, an increasing segment of the tricuspid valve blood flow velocity, and an increasing segment of the pulmonary valve blood flow velocity. The descending segment of the aortic valve blood flow velocity, the descending segment of the mitral valve blood flow velocity, the descending segment of the tricuspid valve blood flow velocity, the descending segment of the pulmonary valve blood flow velocity, or the descending segment of the aortic valve blood flow velocity. However, the invention is not limited thereto.

請參照第十九圖,其係本發明第二實施例之一較佳實施例之心臟搏動生理之量測系統的電路方塊示意圖,如圖所示,本發明所提供之第二實施例之心臟搏動生理量測系統,當其慣性運動感測器30之數量係為至少二慣性運動感測器時,於第二訊號接收比對模組41與該些慣性運動感測器30之間可進一步連接設置一心震圖訊號處理模組412,用以接收至少二加速度量測訊號並加以疊合,將該些加速度量測訊號處理形成一三維心震圖訊號後傳輸至該第二訊號接收比對模組41進行訊號比對。其中,經由將該些加速度量測訊號加以疊合形成該三維心震圖訊號,可代表心臟瓣膜位置之X軸、心臟瓣膜位置之Y軸、心臟瓣膜震動幅度以及心臟瓣膜開閉時間等生理狀態,係為一具有四維意義之心震圖譜。而該三維心震圖訊號所提供之心臟瓣膜位置之X軸、Y軸、心臟瓣膜震動幅度以及心臟瓣膜開閉時間等資訊,不僅能針對震動發生時間準確偵測、避免過多震源之波動結合與震幅衰減影響心震圖譜之判讀,同時更能觀察心臟搏動時心臟瓣膜周而復始的開闔狀態,利用圖形化之加速度量測訊號提供使用者一長時間且具象化之觀測結果,提供使用者另一種觀察心臟搏動之途徑之餘,更可進一步取代現有既昂貴又缺乏便利性之心臟影像觀測系統,提供一種更為經濟便利之心臟搏動生理監測工具。19 is a circuit block diagram of a heart beat physiological measurement system according to a preferred embodiment of the second embodiment of the present invention. As shown in the figure, the heart of the second embodiment provided by the present invention is shown. The pulsation physiological measurement system may further extend between the second signal receiving comparison module 41 and the inertial motion sensors 30 when the number of the inertial motion sensors 30 is at least two inertial motion sensors. Connecting a heartbeat signal processing module 412 for receiving and superimposing at least two acceleration measurement signals, processing the acceleration measurement signals to form a three-dimensional heartbeat signal, and transmitting the signals to the second signal reception comparison The module 41 performs signal comparison. The three-dimensional heartbeat signal is formed by superimposing the acceleration measurement signals, and can represent the X-axis of the heart valve position, the Y-axis of the heart valve position, the amplitude of the heart valve vibration, and the physiological state of the heart valve opening and closing time. It is a heart-strength map with four-dimensional meaning. The information of the X-axis, Y-axis, heart valve vibration amplitude and heart valve opening and closing time of the heart valve position provided by the three-dimensional heartbeat signal can accurately detect the vibration occurrence time and avoid the fluctuation of the excessive source and the earthquake. The amplitude attenuation affects the interpretation of the heart attack spectrum, and at the same time, it can better observe the open state of the heart valve during the heart beat, and use the graphical acceleration measurement signal to provide users with long-term and visual observations, and provide another user. In addition to observing the heartbeat, it can further replace the existing expensive and inconvenient cardiac imaging observation system, providing a more economical and convenient heartbeat physiological monitoring tool.

請參照第二十圖,其係為本發明所提供之第二實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖,如圖所示,本發明所提供之第二實施例之一心臟搏動生理量測系統可進一步於設置有一傳輸單元50及一終端裝置60,其中該傳輸單元50及該終端裝置60係同於第一實施例,故於此不再贅述。Please refer to the twentieth embodiment, which is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the second embodiment of the present invention. As shown in the figure, the second aspect of the present invention is provided. The heartbeat physiological measurement system of the embodiment may further be provided with a transmission unit 50 and a terminal device 60, wherein the transmission unit 50 and the terminal device 60 are the same as the first embodiment, and thus will not be further described herein.

請參照第二十一圖,其係為本發明所提供之第二實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖,如圖所示,其結構除第二訊號接收比對模組41係與第一實施例之第一訊號接收比對模組40不同外,其餘硬體結構及資訊流動方向皆與第一實施例相同,於此不再贅述。Please refer to the twenty-first embodiment, which is a schematic structural diagram of a wearable device of the cardiac pulsation physiological measurement system according to the second embodiment of the present invention. As shown in the figure, the second signal receiving comparison module is configured. The 41 series is different from the first signal receiving comparison module 40 of the first embodiment, and the other hardware structures and information flow directions are the same as those of the first embodiment, and details are not described herein again.

請參照第二十二圖,其係為本發明所提供之第三實施例之心臟搏動生理之量測系統的量測裝置電路方塊示意圖,如圖所示,本實施例所提供之量測系統具有複數個心電圖量測電極20及至少一慣性運動感測器30及一第三訊號接收比對模組42,其中,該些心電圖量測電極20及該至少一慣性運動感測器30之設置及其功能皆同於第一實施例,故於此不再贅述。本實施例所提供之一第三訊號接收比對模組42同樣設置有至少一微處理器,其用以進行該心電圖訊號及至少一加速度量測訊號之處理,其中,該第三訊號接收比對模組42進行將該至少一訊號加速度量測訊號整合成至少一心震圖訊號及將該至少一心震圖訊號與該心電圖訊號進行同步之步驟與第一實施例相同,於此亦不再贅述。而該第三訊號接收比對模組42係同步化該至少一心震圖訊號及該心電圖訊號後,先利用一演算法選取目標特徵點所在瓣膜之至少一心震圖訊號,並以該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,接著依據該該至少一心震圖訊號時間軸上之該至少一起始點為基準,於一目標時間範圍進行該至少一特徵點之擷取。Please refer to the twenty-second figure, which is a block diagram of the measuring device of the measuring device of the heartbeat physiology measuring system according to the third embodiment of the present invention. As shown in the figure, the measuring system provided in the embodiment A plurality of electrocardiographic measuring electrodes 20 and at least one inertial motion sensor 30 and a third signal receiving comparison module 42 are provided, wherein the electrocardiographic measuring electrodes 20 and the at least one inertial motion sensor 30 are disposed. The functions and functions are the same as those in the first embodiment, and thus will not be described again. The third signal receiving comparison module 42 of the embodiment is further provided with at least one microprocessor for processing the electrocardiogram signal and the at least one acceleration measuring signal, wherein the third signal receiving ratio is The step of integrating the at least one signal acceleration measurement signal into the at least one heartbeat signal and synchronizing the at least one heartbeat signal with the electrocardiogram signal is the same as the first embodiment, and details are not described herein again. . After the third signal receiving comparison module 42 synchronizes the at least one heartbeat signal and the electrocardiogram signal, an algorithm is used to select at least one heartbeat signal of the valve of the target feature point, and the ECG signal is used At least one starting point is generated on the at least one heartbeat signal, and then the at least one feature point is captured in a target time range according to the at least one starting point on the time axis of the at least one cardiogram signal.

承續上段所述,本發明之第三實施例所提供之量測系統,該演算法之擷取方式可係為以該心電圖上之R波峰值於一主動脈瓣心震圖訊號上產生一第一起始點,並於該第一起始點之後0.06秒內之一最小谷值點之後擷取一峰值點,以該峰值點定義為側壁心肌收縮最大速度特徵點;或於該第一起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為主動脈瓣血流最大特徵點;或以心電圖上之R波峰值於肺動脈瓣心震圖訊號上產生一第二起始點,於該第二起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為中膈心肌收縮最大速度特徵點;或以心電圖上之R波峰值於肺動脈瓣心震圖訊號上產生一第二起始點,於該第二起始點之後0.085秒至0.15秒之間之第二個峰值點,以該峰值點定義為肺動脈瓣血流最大特徵點;或以該心電圖上之R波峰值於一二尖瓣心震圖訊號上產生一第三起始點,並於該第三起始點之前0.02秒向前算之第二個峰值點,以該峰值點定義為二尖瓣心房收縮血流最大特徵點;或以該心電圖上之R波峰值於一二尖瓣心震圖訊號上產生一第三起始點,並於該第三起始點之後0.05~0.11秒之間之一最大峰值點,以該峰值點定義為側壁心肌收縮最大速度特徵點;或以該心電圖上之R波峰值於一三尖瓣心震圖訊號上產生一第四起始點,並於該第四起始點之後0.05~0.11秒之間之第二個峰值點,以該峰值點定義為中膈心肌收縮最大速度特徵點,或其任意之組合,但本發明所提供之演算法應不以此為限。According to the measurement system provided in the third embodiment of the present invention, the algorithm can be obtained by generating a signal on the aortic valve heartbeat signal by using the R wave peak on the electrocardiogram. a first starting point, and a peak point after a minimum valley point within 0.06 seconds after the first starting point, wherein the peak point is defined as a sidewall myocardial contraction maximum velocity feature point; or at the first starting point Then, a maximum peak point is obtained from 0.07 seconds to 0.1 seconds, and the maximum peak point is defined as the maximum characteristic point of the aortic valve blood flow; or the second peak of the R wave on the electrocardiogram is generated on the pulmonary valve heartbeat signal. Starting point, extracting a maximum peak point from 0.07 seconds to 0.1 seconds after the second starting point, wherein the maximum peak point is defined as a maximum velocity characteristic point of the middle myocardial contraction; or the R wave peak on the electrocardiogram is A second starting point is generated on the pulmonary valve heartbeat signal, and a second peak point between 0.085 seconds and 0.15 seconds after the second starting point is defined as the maximum characteristic point of pulmonary valve blood flow. Or with the R wave peak on the ECG A third starting point is generated on the signal signal of the mitral valve heartbeat, and the second peak point is calculated 0.02 seconds before the third starting point, and the peak point is defined as mitral atrial contraction blood The maximum characteristic point of the flow; or a third starting point on the mitral heartbeat signal of the R wave peak on the electrocardiogram, and one of the largest between 0.05 and 0.11 seconds after the third starting point a peak point, which is defined as a characteristic point of the wall myocardial contraction maximum velocity; or a fourth starting point is generated on the tricuspid heartbeat signal by the R wave peak on the electrocardiogram, and the fourth starting point The second peak point between 0.05 and 0.11 seconds after the start point, which is defined as the maximum speed characteristic point of the middle myocardial contraction, or any combination thereof, but the algorithm provided by the present invention should not limit.

請參照第二十三圖,其係為本發明所提供之第三實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖,如圖所示,本發明所提供之第二實施例之一心臟搏動生理量測系統可進一步於設置有一傳輸單元50及一終端裝置60,其中該傳輸單元50及該終端裝置60係同於第一實施例,故於此不再贅述。Please refer to the twenty-third figure, which is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the third embodiment of the present invention. As shown in the figure, the present invention provides The heartbeat physiological measurement system of the second embodiment may further be provided with a transmission unit 50 and a terminal device 60, wherein the transmission unit 50 and the terminal device 60 are the same as the first embodiment, and thus will not be further described herein.

請參照第二十四圖,其係為本發明所提供之第三實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖,如圖所示,其結構除第三訊號接收比對模組42係與第一實施例之第一訊號接收比對模組40不同外,其餘硬體結構及資訊流動方向皆與第一實施例相同,於此不再贅述。Please refer to FIG. 24 , which is a schematic structural diagram of a wearable device of a cardiac pulsation physiological measurement system according to a third embodiment of the present invention, as shown in the figure, except for a third signal receiving comparison module. The 42-series is different from the first signal receiving comparison module 40 of the first embodiment, and the other hardware structures and information flow directions are the same as those of the first embodiment, and details are not described herein again.

請參照第二十五圖,其係為本發明所提供之第四實施例之心臟搏動生理之量測系統的量測裝置電路方塊示意圖,如圖所示,本實施例所提供之量測系統具有複數個心電圖量測電極20及至少一慣性運動感測器30及一第四訊號接收比對模組43,其中,該些心電圖量測電極20及該至少一慣性運動感測器30之設置及其功能皆同於第一實施例,故於此不再贅述。本實施例所提供之一第四訊號接收比對模組43同樣設置有至少一微處理器,其用以進行該心電圖訊號及至少一加速度量測訊號之處理,其中,該第四訊號接收比對模組43進行將該至少一訊號加速度量測訊號整合成至少一心震圖訊號及將該至少一心震圖訊號與該心電圖訊號進行同步之步驟與第一實施例相同,於此亦不再贅述。而該第四訊號接收比對模組43係同步化該至少一心震圖訊號及該心電圖訊號後,先利用一演算法選取目標特徵點所在瓣膜之至少一心震圖訊號,並以該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,接著搭配該心電圖訊號於該至少一心震圖訊號上產生至少一對應點,於至少一起始點與該至少一對應點之間進行該至少一特徵點之擷取。Please refer to the twenty-fifth figure, which is a block diagram of the measuring device of the measuring device of the heartbeat physiology measuring system according to the fourth embodiment of the present invention. As shown in the figure, the measuring system provided in the embodiment A plurality of electrocardiographic measuring electrodes 20 and at least one inertial motion sensor 30 and a fourth signal receiving comparison module 43 are provided, wherein the electrocardiographic measuring electrodes 20 and the at least one inertial motion sensor 30 are disposed. The functions and functions are the same as those in the first embodiment, and thus will not be described again. The fourth signal receiving and comparing module 43 provided in this embodiment is also provided with at least one microprocessor for performing processing of the electrocardiogram signal and at least one acceleration measuring signal, wherein the fourth signal receiving ratio is The step of integrating the at least one signal acceleration measurement signal into the at least one heartbeat signal and synchronizing the at least one heartbeat signal with the electrocardiogram signal is the same as the first embodiment, and details are not described herein again. . After the fourth signal receiving comparison module 43 synchronizes the at least one heartbeat signal and the electrocardiogram signal, an algorithm is used to select at least one heartbeat signal of the valve of the target feature point, and the ECG signal is used Generating at least one starting point on the at least one cardiogram signal, and then generating at least one corresponding point on the at least one cardiogram signal with the electrocardiogram signal, and performing the at least one feature between the at least one starting point and the at least one corresponding point Click to pick.

承續上段所述,本發明之第四實施例所提供之量測系統,該演算法之擷取方式可係為以該心電圖上之P波峰值於主動脈瓣心震圖訊號上產生一第一對應點,以心電圖上之R波峰值於主動脈瓣心震圖訊號上產生一第一起始點,於該第一起始點與該第一對應點之間擷取一最大峰值點,以該最大峰值點定義為二尖瓣心房收縮血流最大特徵點,或以該心電圖上之T波峰值於主動脈瓣心震圖訊號上產生一第二對應點,於該第一起始點之後0.1秒至該第二對應點擷取一最大峰值點,以該最大峰值點定義為肺動脈瓣血流最大特徵點,或其任意之組合,但本發明所提供之演算法應不以此為限。According to the measurement system provided in the fourth embodiment of the present invention, the algorithm can be obtained by generating a P-wave peak on the electrocardiogram on the aortic valve heartbeat signal. a corresponding point, a peak of the R wave on the electrocardiogram is generated on the aortic valve heartbeat signal to generate a first starting point, and a maximum peak point is taken between the first starting point and the first corresponding point, The maximum peak point is defined as the maximum characteristic point of the mitral atrial contraction blood flow, or a second corresponding point is generated on the aortic valve heartbeat signal by the T wave peak on the electrocardiogram, 0.1 second after the first starting point A maximum peak point is obtained to the second corresponding point, and the maximum peak point is defined as the maximum characteristic point of the pulmonary valve blood flow, or any combination thereof, but the algorithm provided by the present invention should not be limited thereto.

請參照第二十六圖,其係為本發明所提供之第四實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖,如圖所示,本發明所提供之第二實施例之一心臟搏動生理量測系統可進一步於設置有一傳輸單元50及一終端裝置60,其中該傳輸單元50及該終端裝置60係同於第一實施例,故於此不再贅述。Referring to FIG. 26, it is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the fourth embodiment of the present invention. As shown in the figure, the present invention provides The heartbeat physiological measurement system of the second embodiment may further be provided with a transmission unit 50 and a terminal device 60, wherein the transmission unit 50 and the terminal device 60 are the same as the first embodiment, and thus will not be further described herein.

請參照第二十七圖,其係為本發明所提供之第四實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖,如圖所示,其結構除第四訊號接收比對模組43係與第一實施例之第一訊號接收比對模組40不同外,其餘硬體結構及資訊流動方向皆與第一實施例相同,於此不再贅述。Please refer to the twenty-seventh figure, which is a schematic structural diagram of the wearable device of the cardiac pulsation physiological measurement system according to the fourth embodiment of the present invention, as shown in the figure, except for the fourth signal receiving comparison module. The 43 series is different from the first signal receiving comparison module 40 of the first embodiment, and the other hardware structures and information flow directions are the same as those of the first embodiment, and details are not described herein again.

請參照第二十八圖,其係為本發明所提供之第五實施例之心臟搏動生理之量測系統的量測裝置電路方塊示意圖,如圖所示,本實施例所提供之量測系統具有複數個心電圖量測電極20及至少一慣性運動感測器30及一第五訊號接收比對模組44,其中,該些心電圖量測電極20及該至少一慣性運動感測器30之設置及其功能皆同於第一實施例,故於此不再贅述。本實施例所提供之一第五訊號接收比對模組44同樣設置有至少一微處理器,其用以進行該心電圖訊號及至少一加速度量測訊號之處理,其中,該第五訊號接收比對模組44進行將該至少一訊號加速度量測訊號整合成至少一心震圖訊號及將該至少一心震圖訊號與該心電圖訊號進行同步之步驟與第一實施例相同,於此亦不再贅述。而該第五訊號接收比對模組44係同步化該至少一心震圖訊號及該心電圖訊號後,先利用一演算法選取目標特徵點所在瓣膜之至少一心震圖訊號,並以該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,接著該訊號接收比對模組以一演算法依據該起始點於該至少一心震圖訊號上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率。Please refer to the twenty-eighth, which is a circuit block diagram of the measuring device of the cardiac pulsation physiological measuring system according to the fifth embodiment of the present invention. As shown in the figure, the measuring system provided in the embodiment A plurality of electrocardiographic measuring electrodes 20 and at least one inertial motion sensor 30 and a fifth signal receiving comparison module 44, wherein the electrocardiographic measuring electrodes 20 and the at least one inertial motion sensor 30 are disposed The functions and functions are the same as those in the first embodiment, and thus will not be described again. The fifth signal receiving comparison module 44 of the embodiment is further provided with at least one microprocessor for performing processing of the electrocardiogram signal and at least one acceleration measuring signal, wherein the fifth signal receiving ratio is The step of integrating the at least one signal acceleration measurement signal into the at least one heartbeat signal and synchronizing the at least one heartbeat signal with the electrocardiogram signal is the same as the first embodiment, and details are not described herein again. . After the fifth signal receiving comparison module 44 synchronizes the at least one heartbeat signal and the electrocardiogram signal, an algorithm is used to select at least one heartbeat signal of the valve of the target feature point, and the ECG signal is used At least one starting point is generated on the at least one heartbeat signal, and then the signal receiving and comparing module obtains at least two feature points on the at least one heartbeat signal according to the starting point by an algorithm to obtain the at least two features. One time difference or one interval slope.

承續上段所述,本發明之第五實施例所提供之量測系統,該演算法之擷取方式可係為於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞增速率,或於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞減速率,或於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞增速率,或於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞減速率,或於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞增速率,或於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞減速率,或其任意之組合,但本發明所提供之演算法應不以此為限。According to the measurement system provided in the fifth embodiment of the present invention, the algorithm may be configured to capture the maximum characteristic of the mitral atrial constricted blood flow on the at least one cardiac image signal. Point and one of the trough points before the feature point, calculate the slope of the two-point line as an increasing rate of mitral valve blood flow velocity, or draw the mitral atrial systolic blood flow maximally on the at least one cardiac image signal The feature point and one of the trough points after the feature point, calculate the slope of the two-point line, appear as a deceleration rate of the mitral valve blood flow velocity, or draw the aortic valve atrial contraction blood flow on the at least one cardiac image signal The maximum feature point and one of the trough points before the feature point, calculate the slope of the two-point line as an increasing rate of aortic valve blood flow velocity, or draw the aortic valve atrial contraction blood on the at least one cardiac image signal The maximum characteristic point of the flow and one of the trough points after the characteristic point, calculate the slope of the two-point connection, as a deceleration rate of the aortic valve blood flow velocity, or draw the pulmonary valve atrium on the at least one cardiac image signal The maximum characteristic point of the contracted blood flow and one of the trough points before the characteristic point, the slope of the two-point connection is calculated as an increasing rate of the pulmonary valve blood flow velocity, or the pulmonary valve atrial contraction is captured on the at least one cardiac image signal The maximum characteristic point of the blood flow and one of the trough points after the characteristic point, the slope of the two-point connection is calculated as the deceleration rate of the pulmonary valve blood flow velocity, or any combination thereof, but the algorithm provided by the present invention should not This is limited.

請參照第二十九圖,其係為本發明所提供之第五實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖,如圖所示,本發明所提供之第二實施例之一心臟搏動生理量測系統可進一步於設置有一傳輸單元50及一終端裝置60,其中該傳輸單元50及該終端裝置60係同於第一實施例,故於此不再贅述。Please refer to the twenty-ninth aspect, which is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the fifth embodiment of the present invention. As shown in the figure, the present invention provides The heartbeat physiological measurement system of the second embodiment may further be provided with a transmission unit 50 and a terminal device 60, wherein the transmission unit 50 and the terminal device 60 are the same as the first embodiment, and thus will not be further described herein.

請參照第三十圖,其係為本發明所提供之第五實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖,如圖所示,其結構除第五訊號接收比對模組44係與第一實施例之第一訊號接收比對模組40不同外,其餘硬體結構及資訊流動方向皆與第一實施例相同,於此不再贅述。Please refer to FIG. 30 , which is a schematic structural diagram of a wearable device of a heart beat physiological measurement system according to a fifth embodiment of the present invention. As shown in the figure, the structure is divided into a fifth signal receiving comparison module 44 . The same as the first signal receiving comparison module 40 of the first embodiment, the other hardware structures and information flow directions are the same as those of the first embodiment, and details are not described herein again.

綜上所述,本發明提供一種心臟搏動生理之量測系統及其方法,其藉由使用心震圖、心電圖與心臟超音波比對獲得之複數個特徵點所建立之心臟搏動狀態資料庫,得以在僅進行心電圖及心震圖量測的情況下,獲得如同心臟超音波儀器量測一般之準確度及精細度;同時,藉由於對應四種心臟瓣膜位置之至少一體表區域進行心震圖加速度訊號量測,搭配特徵點之擷取係以最接近特徵點或特徵參數發生位置之心震圖作為擷取對象的設計,得以可克服現有技術下三尖瓣心震圖雖係為最常使用之心震圖類型,但仍有許多之心臟搏動狀態特徵點無法於三尖瓣心震圖中以峰值點及峰谷點的方式進行呈現的窘境,藉由於其他心震圖譜如二尖瓣心震圖、主動脈瓣心震圖及肺動脈瓣心震圖上擷取適合之特徵點,可較現有之心震圖量測比對出更多且更為準確之心臟搏動狀態特點,並可對特定瓣膜之運動狀態暨血液流動情形進行準確之監測,獲得更精確之心臟搏動生理狀態資訊;另外,本發明提供一種心臟搏動生理之量測系統藉由設置有一傳輸單元及一終端裝置,可利用文字化、數據化或圖形化之影像呈現讓使用者更為快速且詳細的了解量測系統所獲得之結果,並能進一步進行數據比對、巨量分析、資料儲存或將資料上傳雲端系統等資料處理,使該量測系統所能達到的功能更為多元,更甚者,得以在較低的硬體需求下,於居家或地區醫療院所得以進行高精密度及高準確度之心臟搏動生理監測,以提高心臟功能輔助判斷系統之便利性,達到醫療普及化之目的;最後,藉由將本發明所提供之心臟搏動生理量測系統結合穿戴裝置,得以達到隨時、隨地、隨動及隨身的生理監控目標,於異常預警及療效評估的居家照護扮演相當重要之角色。鑑此,本發明實提供一種新穎的心臟搏動生理量測系統及量測方法,克服相關技術領域之長久以來在心臟搏動生理狀態量測上之瓶頸,確實具備專利申請所需之專利要件。In summary, the present invention provides a heartbeat physiology measurement system and method thereof, which utilizes a heartbeat state database established by using a plurality of feature points obtained by comparing a heartbeat map, an electrocardiogram, and a cardiac ultrasound. It is possible to obtain the accuracy and fineness of the measurement of the heart ultrasound instrument only when the electrocardiogram and the heart rate map are measured. At the same time, the cardiogram is performed by at least one integrated table area corresponding to the position of the four heart valves. Acceleration signal measurement, matching with feature points is based on the design of the heartbeat map closest to the feature point or the location of the feature parameters, which can overcome the prior art tricuspid heart rate map is the most common The type of heartbeat is used, but there are still many cardiac pulsation feature points that cannot be presented in the tricuspid heartbeat in the form of peak points and peaks and valleys, due to other cardiac spectroscopy such as mitral valve The heartbeat map, the aortic valve heart map, and the pulmonary valve heart map are suitable for the feature points, which can compare more and more accurate heart beats than the existing heart map measurements. The invention can accurately monitor the movement state of the specific valve and the blood flow situation, and obtain more accurate information about the physiological state of the heart beat. In addition, the present invention provides a measurement system for the heart beat physiology by providing a transmission unit and a The terminal device can use textual, digitized or graphical image presentation to enable users to more quickly and accurately understand the results obtained by the measurement system, and can further perform data comparison, massive analysis, data storage or The data is uploaded to the cloud system and other data processing, so that the measurement system can achieve more diverse functions, and even more, it can be obtained at home or regional hospitals with high hardware requirements for high precision and high. Accurate heart beat physiological monitoring to improve the convenience of the cardiac function-assisted judgment system to achieve medical popularization; finally, by combining the heart beat physiological measurement system provided by the present invention with the wearable device, it is possible to achieve the time, Local, follow-up and portable physiological monitoring targets, playing at home care for abnormal warning and efficacy evaluation When the important role. Accordingly, the present invention provides a novel cardiac pulsation physiological measurement system and measurement method, which overcomes the long-standing bottleneck in the measurement of cardiac pulsation physiological state in the related art field, and indeed has the patent requirements for patent application.

惟以上所述者,僅為本發明之較佳實施例而已,並非用來限定本發明實施之範圍,舉凡依本發明申請專利範圍所述之形狀、構造、特徵及精神所為之均等變化與修飾,均應包括於本發明之申請專利範圍內。The above is only the preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, and the variations, modifications, and modifications of the shapes, structures, features, and spirits described in the claims of the present invention. All should be included in the scope of the patent application of the present invention.

10‧‧‧受測者10‧‧‧ Subjects

11‧‧‧主動脈瓣體表區域11‧‧‧Aortic valve surface area

12‧‧‧二尖瓣體表區域12‧‧‧ mitral valve surface area

13‧‧‧肺動脈瓣體表區域13‧‧‧Pulmonary valve surface area

14‧‧‧三尖瓣體表區域14‧‧‧ Tricuspid valve surface area

20‧‧‧心電圖量測電極20‧‧‧ECG measuring electrode

30‧‧‧慣性運動感測器30‧‧‧Inertial Motion Sensor

40‧‧‧第一訊號接收比對模組40‧‧‧First signal receiving comparison module

41‧‧‧第二訊號接收比對模組41‧‧‧Second signal receiving comparison module

42‧‧‧第三訊號接收比對模組42‧‧‧Third signal receiving comparison module

43‧‧‧第四訊號接收比對模組43‧‧‧fourth signal receiving comparison module

44‧‧‧第五訊號接收比對模組44‧‧‧Fifth signal receiving comparison module

401‧‧‧第一資料庫401‧‧‧First database

411‧‧‧第二資料庫411‧‧‧Second database

412‧‧‧心震圖訊號處理模組412‧‧‧Heart vibration signal processing module

50‧‧‧傳輸單元50‧‧‧Transportation unit

60‧‧‧終端裝置60‧‧‧ Terminal devices

70‧‧‧第一穿戴部70‧‧‧First Wear Department

80‧‧‧第二穿戴部80‧‧‧Second Wear Department

90‧‧‧連接單元90‧‧‧ Connection unit

第1圖:其係為本發明之第一實施例之心臟搏動生理量測系統之量測裝置結構示意圖; 第2圖:其係為本發明之第一實施例之心臟搏動生理量測系統之電路方塊示意圖; 第3圖至第11圖:其係為本發明所提供之資料庫特徵點取得方法之一較佳實施例,其心震圖、心電圖及心臟超音波圖譜之特徵點比對示意圖; 第12A圖及第12B圖:其係為本發明所提供之四個心臟瓣膜心震圖量測結果及其特徵點擷取之示意圖; 第13A圖及第13B圖:其係為本發明所提供之心臟搏動生理量測系統對正常人及心臟病患於二尖瓣所量測之心電圖及心震圖比較圖; 第14圖:其係為本發明之第一實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖; 第15圖:其係為本發明之第一實施例之心臟搏動生理之量測系統的穿戴裝置結構示意圖; 第16圖:其係為本發明之第二實施例之心臟搏動生理之量測系統的量測裝置電路方塊示意圖; 第17圖:其係為本發明之第二實施例之資料庫特徵點擷取暨比對示意圖; 第18圖:其係為本發明之第二實施例之資料庫特徵斜率之擷取暨比對示意圖; 第19圖:其係為本發明之第二實施例之另一較佳實施例之心臟搏動生理之量測系統的電路方塊示意圖; 第20圖:其係為本發明之第二實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖; 第21圖:其係為本發明之第二實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖; 第22圖:其係為本發明之第三實施例之心臟搏動生理之量測系統的電路方塊示意圖; 第23圖:其係為本發明之第三實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖; 第24圖:其係為本發明之第三實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖; 第25圖:其係為本發明之第四實施例之心臟搏動生理之量測系統的電路方塊示意圖; 第26圖:其係為本發明之第四實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖; 第27圖:其係為本發明之第四實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖; 第28圖:其係為本發明之第五實施例之心臟搏動生理之量測系統的電路方塊示意圖; 第29圖:其係為本發明之第五實施例之另一較佳實施例之心臟搏動生理量測系統的電路方塊示意圖;以及 第30圖:其係為本發明之第五實施例之心臟搏動生理之量測系統之穿戴裝置結構示意圖。1 is a schematic structural view of a measuring device of a cardiac pulsation physiological measuring system according to a first embodiment of the present invention; FIG. 2 is a cardiac physiology measuring system according to a first embodiment of the present invention; Circuit block diagram; FIG. 3 to FIG. 11 : It is a preferred embodiment of the method for obtaining feature points of the database provided by the present invention, and the characteristic point comparison diagrams of the cardiogram, electrocardiogram and cardiac ultrasound map are shown. Fig. 12A and Fig. 12B are schematic diagrams showing the results of measurement of four heart valve heart maps and their feature points provided by the present invention; Figs. 13A and 13B: Fig. 13 is the present invention An electrocardiogram and a cardiogram comparison chart of a heart beat physiological measurement system for normal people and heart disease measured by the mitral valve; FIG. 14 is another preferred embodiment of the first embodiment of the present invention. A circuit block diagram of a cardiac pulsation physiological measurement system of an embodiment; FIG. 15 is a schematic structural view of a wearable device of a cardiac pulsation physiological measurement system according to a first embodiment of the present invention; Second embodiment of the invention Block diagram of the measuring device of the measuring system of the heart beat physiology; FIG. 17 is a schematic diagram of the feature point extraction and comparison of the database according to the second embodiment of the present invention; FIG. 18 is a view of the present invention FIG. 19 is a circuit block diagram of a heartbeat physiological measurement system according to another preferred embodiment of the second embodiment of the present invention. FIG. FIG. 20 is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the second embodiment of the present invention; FIG. 21 is a second embodiment of the present invention; FIG. 22 is a schematic circuit diagram of a heartbeat physiological measurement system according to a third embodiment of the present invention; FIG. 23 is a schematic diagram of a circuit of the present invention. A circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the third embodiment; FIG. 24 is a wearable device of the cardiac pulsation physiological measurement system according to the third embodiment of the present invention; Figure 25 is a circuit block diagram of a heart beat physiological measurement system according to a fourth embodiment of the present invention; Figure 26 is another preferred embodiment of the fourth embodiment of the present invention. A block diagram of a circuit diagram of a heart beat physiological measurement system; FIG. 27 is a schematic structural view of a wearable device of a heart beat physiological measurement system according to a fourth embodiment of the present invention; FIG. 28 is a view of the present invention FIG. 29 is a circuit block diagram of a cardiac pulsation physiological measurement system according to another preferred embodiment of the fifth embodiment of the present invention; FIG. And FIG. 30 is a schematic structural view of a wearable device of the heartbeat physiological measurement system according to the fifth embodiment of the present invention.

10‧‧‧受測者 10‧‧‧ Subjects

11‧‧‧主動脈瓣體表區域 11‧‧‧Aortic valve surface area

12‧‧‧二尖瓣體表區域 12‧‧‧ mitral valve surface area

13‧‧‧肺動脈瓣體表區域 13‧‧‧Pulmonary valve surface area

14‧‧‧三尖瓣體表區域 14‧‧‧ Tricuspid valve surface area

20‧‧‧心電圖量測電極 20‧‧‧ECG measuring electrode

30‧‧‧慣性運動感測器 30‧‧‧Inertial Motion Sensor

40‧‧‧訊號接收比對模組 40‧‧‧Signal receiving comparison module

Claims (55)

一種心臟搏動生理之量測系統,該系統包含:複數個心電圖量測電極,貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號;至少一慣性運動感測器,其係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測該體表區域震動之至少一加速度量測訊號;一第一訊號接收比對模組,其係同步接收該心電圖訊號及該至少一加速度量測訊號,使該至少一加速度量測訊號形成至少一心震圖訊號,並利用該心電圖訊號於該至少一心震圖訊號上產生一起始點,藉由該起始點比對一第一資料庫於該至少一心震圖訊號上擷取至少一特徵點,形成一第一比對結果,其中,該第一資料庫係使用心震圖訊號、心電圖與心臟超音波比對獲得之複數個特徵點所建立。 A heartbeat physiology measuring system, the system comprising: a plurality of electrocardiographic measuring electrodes attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal; at least one inertial motion sensor And the first signal receiving comparison module is configured to synchronously receive the at least one integrated measuring area corresponding to the position of the heart valve to be measured. The electrocardiogram signal and the at least one acceleration measurement signal cause the at least one acceleration measurement signal to form at least one heartbeat signal, and use the electrocardiogram signal to generate a starting point on the at least one heartbeat signal, by using the starting point Comparing a first database to at least one feature point on the at least one heartbeat signal to form a first comparison result, wherein the first database uses a heartbeat signal, an electrocardiogram, and a cardiac ultrasound ratio Established for the plurality of feature points obtained. 如專利範圍第1項所述之心臟搏動生理之量測系統,該系統進一步包含:一傳輸單元,其與該第一訊號比對模組連接,接收該第一比對結果、該心電圖訊號及該至少一心震圖訊號,並進行一資料之傳輸;以及一終端裝置,其與該傳輸單元連接,接收該傳輸單元所傳輸該資料,並進行該資料之呈現或進階處理。 The system of measuring a cardiac pulsation physiology according to the first aspect of the invention, further comprising: a transmission unit connected to the first signal comparison module, receiving the first comparison result, the electrocardiogram signal, and The at least one heartbeat signal and the transmission of a data; and a terminal device connected to the transmission unit, receiving the data transmitted by the transmission unit, and performing rendering or advanced processing of the data. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 1, wherein the at least one integrated table region comprises a second rib of the left sternal border and extends to the right across the sternum stem to the second and third intercostal aorta of the right sternal border. The valve body area. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第五肋間擴展至腋後線之二尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 1, wherein the at least one integrated surface region comprises a mitral valve surface region in which a fifth intercostal space of the right sternum extends to the posterior tibial line. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間之肺動脈瓣體表區域。 The heartbeat physiology measuring system according to the first aspect of the invention, wherein the at least one integrated table region comprises a second intercostal space of the left sternal border, extending upward to the first intercostal space, the left subclavian region, and extending downward to the sternum The area of the pulmonary valve body at the third intercostal space on the left edge. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 1, wherein the at least one integrated table region comprises a tricuspid valve surface region extending to the right of the fourth and fifth intercostals of the right sternal border. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該慣性運動感測器產生一主動脈心震圖訊號,該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一P波峰點及一R波峰點,並使該P波峰點及該R波峰點分別對應於該主動脈心震圖訊號產生一第一對應點及一第二對應點;以及擷取自該第一對應點至該第二對應點間之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一二尖瓣心房收縮血流最大特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a first inertial motion sensor to one of the corresponding heart valves In the aortic valve surface region, the inertial motion sensor generates an aortic heartbeat signal, and the aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum, Between the three ribs; a first cardiac inductance measuring module is configured to generate a first electrocardiogram signal on the measurement path of the limb conductor; and extracting one of the P peak points and the R peak point on the first electrocardiogram signal, and The P peak point and the R peak point respectively correspond to the aortic heartbeat signal generating a first corresponding point and a second corresponding point; and extracting one from the first corresponding point to the second corresponding point At the peak point, after obtaining a cardiac ultrasound map and confirming the alignment, the maximum peak point represents the maximum characteristic point of a mitral atrial contraction blood flow. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該慣性運動感測器產生一主動脈心震圖訊號,該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號; 擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該主動脈心震圖訊號產生一第二對應點;以及依序擷取自該第二對應點之後0.06秒內之一最小谷值點及於該最小谷值點後之一峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一側壁心肌收縮最大速度特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a first inertial motion sensor to one of the corresponding heart valves In the aortic valve surface region, the inertial motion sensor generates an aortic heartbeat signal, and the aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum, Between the three ribs; a first cardiac inductance measuring module is configured to generate a first electrocardiogram signal on a limb conductor measuring area; Extracting one of the R peak points on the first electrocardiogram signal, and causing the R peak point to generate a second corresponding point corresponding to the aortic heartbeat signal; and sequentially extracting 0.06 seconds from the second corresponding point One of the minimum valley points and one of the peak points after the minimum valley point, after obtaining a cardiac ultrasound map and confirming the alignment, the peak point indicates a side wall myocardial contraction maximum velocity feature point. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該慣性運動感測器產生一主動脈心震圖訊號,該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該主動脈心震圖訊號產生一第二對應點;以及擷取自該第二對應點之後0.07秒至0.1秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一主動脈瓣血流最大特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a first inertial motion sensor to one of the corresponding heart valves In the aortic valve surface region, the inertial motion sensor generates an aortic heartbeat signal, and the aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum, Between the three ribs; a first cardiac inductance measuring module is configured to generate a first electrocardiogram signal on a limb conductor measuring area; and extracting one of the R peak points on the first electrocardiogram signal, and the R peak point corresponds to The aortic heartbeat signal generates a second corresponding point; and one of the maximum peak points from 0.07 seconds to 0.1 seconds after the second corresponding point is obtained, and after obtaining a cardiac ultrasound map and confirming the comparison, The maximum peak point represents the largest characteristic point of aortic valve blood flow. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第一慣性運動感測器於對應心臟瓣膜之一主動脈瓣體表區域,該慣性運動感測器產生一主動脈心震圖訊號,該主動脈瓣體表區域包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號; 擷取該第一心電圖訊號上之一R波峰點及一T波峰點,使該R波峰點及該T波峰點分別對應於該主動脈心震圖訊號產生一第二對應點及一第三對應點;以及擷取自該第二對應點之後0.1秒至該第三對應點內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一肺動脈瓣血流最大特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a first inertial motion sensor to one of the corresponding heart valves In the aortic valve surface region, the inertial motion sensor generates an aortic heartbeat signal, and the aortic valve surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the second right edge of the sternum, Between the three ribs; a first cardiac inductance measuring module is configured to generate a first electrocardiogram signal on a limb conductor measuring area; Extracting one R peak point and one T wave peak point on the first electrocardiogram signal, so that the R peak point and the T wave peak point respectively generate a second corresponding point and a third corresponding to the aortic heartbeat signal a point; and extracting from the second corresponding point to a maximum peak point of the third corresponding point, after obtaining a cardiac ultrasound map and confirming the comparison, the maximum peak point represents a pulmonary valve blood The largest feature point of the stream. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第二慣性運動感測器於對應心臟瓣膜之一肺動脈瓣體表區域,該慣性運動感測器產生一肺動脈心震圖訊號,該肺動脈瓣體表區域包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該肺動脈心震圖訊號產生一第四對應點;以及擷取自該第四對應點之後0.07秒至0.1秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一中膈心肌收縮最大速度特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a second inertial motion sensor to one of the corresponding heart valves In the pulmonary valve surface region, the inertial motion sensor generates a pulmonary artery heartbeat signal, and the pulmonary valve body surface region includes a second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region, and extends downward. a third intercostal space to the left edge of the sternum; a first cardiac inductance measuring module is configured to generate a first electrocardiogram signal on a limb conductor measuring area; and extracting one of the R peak points on the first electrocardiogram signal, and The R peak point corresponds to the pulmonary artery heartbeat signal to generate a fourth corresponding point; and the maximum peak point from 0.07 seconds to 0.1 second after the fourth corresponding point is obtained, and a cardiac ultrasound map is obtained and compared After confirmation, the maximum peak point represents a maximum velocity characteristic point of myocardial contraction. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第二慣性運動感測器於對應心臟瓣膜之一肺動脈瓣體表區域,該慣性運動感測器產生一肺動脈心震圖訊號,該肺動脈瓣體表區域包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號; 擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該肺動脈心震圖訊號產生一第四對應點;以及擷取自該第四對應點之後0.085秒至0.15秒之間之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一肺動脈瓣血流最大特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a second inertial motion sensor to one of the corresponding heart valves In the pulmonary valve surface region, the inertial motion sensor generates a pulmonary artery heartbeat signal, and the pulmonary valve body surface region includes a second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region, and extends downward. a third intercostal space to the left edge of the sternum; a first cardiac inductance measuring module is provided to generate a first electrocardiogram signal on the measurement area of the limb conductor; Extracting one of the R peak points on the first electrocardiogram signal, and causing the R peak point to generate a fourth corresponding point corresponding to the pulmonary artery heartbeat signal; and extracting 0.085 seconds to 0.15 seconds after the fourth corresponding point The second peak point between the two, after obtaining a cardiac ultrasound map and confirming the alignment, the peak point represents the maximum characteristic point of a pulmonary valve blood flow. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第三慣性運動感測器於對應心臟瓣膜之一二尖瓣體表區域,該慣性運動感測器產生一二尖瓣心震圖訊號,該二尖瓣體表區域包含胸骨右緣第五肋間擴展至腋後線;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該二尖瓣心震圖訊號產生一第五對應點;以及擷取自該第五對應點之前0.02秒之前之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一二尖瓣心房收縮血流最大特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a third inertial motion sensor to one of the corresponding heart valves In the mitral valve surface region, the inertial motion sensor generates a mitral valve heartbeat signal, and the mitral valve surface region includes a fifth rib of the right sternal border extending to the posterior tibial line; and a first cardiac inductance measurement is set. The module generates a first electrocardiogram signal on the measurement path of the limb conductor; extracts an R peak point on the first electrocardiogram signal, and causes the R peak point to correspond to the mitral heartbeat signal to generate a signal a fifth corresponding point; and a second peak point before 0.02 seconds before the fifth corresponding point, after obtaining a cardiac ultrasound map and confirming the alignment, the peak point represents a mitral atrial contraction blood The largest feature point of the stream. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第三慣性運動感測器於對應心臟瓣膜之一二尖瓣體表區域,該慣性運動感測器產生一二尖心震圖訊號,該二尖瓣體表區域包含胸骨右緣第五肋間擴展至腋後線;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該二尖瓣心震圖訊號產生一第五對應點;以及 擷取自該第四對應點之後0.05秒至0.11秒內之一最大峰值點,經取得一心臟超音波圖譜並進行比對確認後,該最大峰值點表示一側壁心肌收縮最大速度特徵點。 The measuring system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the obtaining of the characteristic points in the first database is: setting a third inertial motion sensor to one of the corresponding heart valves In the mitral valve surface region, the inertial motion sensor generates a two-point heartbeat signal, the mitral valve surface region includes a fifth rib of the right sternal border extending to the posterior iliac line; and a first cardiac inductor is provided The group generates a first electrocardiogram signal on the measurement area of the limb conductor; extracts an R peak point on the first electrocardiogram signal, and causes the R peak point to correspond to the mitral valve heartbeat signal to generate a first Five corresponding points; Taking one of the maximum peak points from 0.05 seconds to 0.11 seconds after the fourth corresponding point, after obtaining a cardiac ultrasound map and confirming the alignment, the maximum peak point represents a side wall myocardial contraction maximum velocity feature point. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫中之該些特徵點之取得方法係為:設置一第四慣性運動感測器於對應心臟瓣膜之一三尖瓣體表區域,該慣性運動感測器產生一三尖瓣心震圖訊號,該三尖瓣體表區域包含胸骨右緣第四、五肋間向右擴展;設置一第一心電感測模組於一肢導體表量測區域上產生一第一心電圖訊號;擷取該第一心電圖訊號上之一R波峰點,並使該R波峰點對應於該三尖瓣心震圖訊號產生一第六對應點;以及擷取自該第六對應點之後0.05秒至0.11秒內之第二個峰值點,經取得一心臟超音波圖譜並進行比對確認後,該峰值點表示一中膈心肌收縮最大速度特徵點。 The system for measuring cardiac pulsation physiology according to claim 1, wherein the method for obtaining the feature points in the first database is: setting a fourth inertial motion sensor to one of the corresponding heart valves. a tricuspid valve surface region, the inertial motion sensor generates a tricuspid heartbeat signal, the tricuspid valve surface region includes a fourth and fifth intercostal space extending to the right of the right sternal border; and a first cardiac inductance measurement is set The module generates a first electrocardiogram signal on the measurement path of the limb conductor; extracts an R peak point on the first electrocardiogram signal, and causes the R peak point corresponding to the tricuspid heartbeat signal to generate a signal a sixth corresponding point; and a second peak point within 0.05 seconds to 0.11 seconds after the sixth corresponding point is obtained, and after obtaining a cardiac ultrasound map and confirming the alignment, the peak point represents a middle myocardial Shrink the maximum speed feature point. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該些心電圖量測電極及該些慣性運動感測器進一步設置於一貼身衣物之內側,且該些慣性運動感測器同樣係設置於對應心臟瓣膜位置之該至少一體表區域進行量測。 The cardiac pulsation physiology measuring system according to the first aspect of the invention, wherein the electrocardiographic measuring electrodes and the inertial motion sensors are further disposed on an inner side of the close-fitting clothing, and the inertial motion sensors are the same The measurement is performed on the at least one integrated surface area corresponding to the position of the heart valve. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該至少一特徵點之擷取方法係為於該至少一心震圖訊號之時間軸上依該起始點進行一時間之選取以獲得該至少一特徵點。 The measurement system of the cardiac pulsation physiology according to the first aspect of the invention, wherein the at least one feature point is obtained by selecting a time from the starting point on a time axis of the at least one heartbeat signal. Obtaining the at least one feature point. 如專利範圍第1項所述之心臟搏動生理之量測系統,其中該第一資料庫於該至少一心震圖訊號上擷取至少一特徵點之方法係為將資料庫所內含之至少一資料庫心震圖訊號與該至少一心震圖訊號進行疊合,並以該第一資料庫之複數個資料庫特徵點比對該至少一心震圖訊號上之一對應位置以獲得該至少一特徵點。 The method for measuring a cardiac pulsation physiology according to the first aspect of the invention, wherein the first database is configured to capture at least one feature point on the at least one cardiac image signal to at least one of the database The database heartbeat signal is superimposed on the at least one heartbeat signal, and the corresponding position of the at least one cardiogram signal is compared with the plurality of database feature points of the first database to obtain the at least one feature. point. 一種心臟搏動生理之量測系統,該系統包含:複數個心電圖量測電極,貼附於一受測者身上之複數個量測部位以感測及產生一心電圖訊號;至少一慣性運動感測器,其係設置於對應心臟待量測瓣膜位置之至少一體表區域,用以感測至少一加速度量測訊號;一第二訊號接收比對模組,其係同步接收該心電圖訊號及該至少一加速度量測訊號,使該至少一加速度量測訊號形成至少一心震圖訊號,並利用該心電圖訊號於該至少一心震圖訊號上產生一起始點,藉由該起始點比對一第二資料庫於該至少一心震圖訊號上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率,形成一第二比對結果,其中,該第二資料庫係使用心震圖訊號、心電圖與心臟超音波比對獲得之複數個特徵點,取至少二特徵點獲得之特徵點時間差及其區間斜率,所建立之心臟搏動狀態資料庫。 A heartbeat physiology measuring system, the system comprising: a plurality of electrocardiographic measuring electrodes attached to a plurality of measuring portions of a subject to sense and generate an electrocardiogram signal; at least one inertial motion sensor The system is disposed at least one integrated measurement area corresponding to the position of the heart to be measured for sensing at least one acceleration measurement signal; and a second signal receiving comparison module synchronously receiving the electrocardiogram signal and the at least one The acceleration measurement signal causes the at least one acceleration measurement signal to form at least one heartbeat signal, and uses the electrocardiogram signal to generate a starting point on the at least one heartbeat signal, wherein the starting point is compared with a second data The library obtains at least two feature points on the at least one heartbeat signal, and obtains a time difference or a range slope of the at least two feature points to form a second comparison result, wherein the second database uses a heartbeat map The characteristic points obtained by the signal, the electrocardiogram and the cardiac ultrasound comparison, the time difference of the feature points obtained by at least two feature points and the slope of the interval, the established heart beat State database. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中當該至少一慣性運動感測器之數量係為二慣性運動感測器時,該系統進一步可包含一心震圖訊號處理模組,其係連接於該二慣性運動感測器及該第二訊號接收比對模組之間,接收該二慣性運動感測器所產生之二加速度量測訊號,將該二加速度量測訊號加以疊合產生一三維之心震圖訊號後,傳輸至該第二訊號接收比對模組。 The heart beat physiological measurement system according to claim 19, wherein when the number of the at least one inertial motion sensor is a two inertial motion sensor, the system further comprises a heartbeat signal processing module. The group is connected between the two inertial motion sensors and the second signal receiving comparison module, and receives the two acceleration measurement signals generated by the two inertial motion sensors, and the two acceleration measurement signals are After being superimposed to generate a three-dimensional heartbeat signal, the signal is transmitted to the second signal receiving comparison module. 如專利範圍第19項所述之心臟搏動生理之量測系統,其進一步包含:一傳輸單元,其與該第二訊號接收比對模組連接,用以接收該第二比對結果、該心電圖訊號及該至少一心震圖訊號並進行一資料之傳輸;以及一終端裝置,其與該傳輸單元連接,接收該傳輸單元所傳輸之該資料,並進行該資料之呈現或進階處理。 The heart beat physiological measurement system of claim 19, further comprising: a transmission unit coupled to the second signal receiving comparison module for receiving the second comparison result, the electrocardiogram The signal and the at least one heartbeat signal transmit a data; and a terminal device connected to the transmission unit, receiving the data transmitted by the transmission unit, and performing rendering or advanced processing of the data. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少一 體表區域係包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域。 The heart beat physiological measurement system according to claim 19, wherein the at least one The body surface region includes a second rib of the left sternal border extending to the right across the sternum stem to the aortic valve surface region between the second and third intercostals of the right sternal border. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第五肋間擴展至腋後線之二尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 19, wherein the at least one integrated table region comprises a mitral valve surface region in which a fifth intercostal space of the right sternum extends to the posterior tibial line. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間之肺動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 19, wherein the at least one integrated table region comprises a second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region and extends downward to the sternum The area of the pulmonary valve body at the third intercostal space on the left edge. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 19, wherein the at least one integrated table region comprises a tricuspid valve surface region extending to the right of the fourth and fifth intercostals of the right sternal border. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該些心電圖量測電極及該些慣性運動感測器可進一步設置於一貼身衣物之內側,且該些慣性運動感測器同樣係設置於對應心臟瓣膜位置之該至少一體表區域進行量測。 The cardiac pulsation physiology measuring system of claim 19, wherein the electrocardiographic measuring electrodes and the inertial motion sensors are further disposed on an inner side of the close-fitting clothing, and the inertial motion sensors The measurement is also performed on the at least one integrated surface region corresponding to the position of the heart valve. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少二特徵點之該時間差係為瓣膜開啟到脈瓣血流最大時點經過時間、脈瓣血流最大時點到瓣膜關閉經過時間或瓣膜開啟到瓣膜關閉總時間。 The system for measuring cardiac pulsation physiology according to claim 19, wherein the time difference of the at least two characteristic points is a time elapsed from when the valve is opened to the maximum blood flow of the valve, and when the blood flow of the pulse is maximum, the valve is closed. Time or valve opening to the total time the valve is closed. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少二特徵點之該區間斜率係為血流速度出現遞增段之斜率或血流速度出現遞減段之斜率。 The heart beat physiological measurement system according to claim 19, wherein the slope of the interval of the at least two feature points is a slope of an increasing segment of the blood flow velocity or a slope of a decreasing segment of the blood flow velocity. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少二特徵點之該時間差係二尖瓣瓣膜開啟到二尖瓣瓣膜關閉總時間、三尖瓣瓣膜開啟到三尖瓣瓣膜關閉總時間、肺動脈瓣膜開啟到肺動脈瓣膜關閉總時間、主動脈瓣膜開啟到主動脈瓣膜關閉總時間、三尖瓣瓣膜關閉到肺動脈瓣膜開啟總時間、二尖瓣瓣膜關閉到主動脈瓣膜開啟總時間、二尖瓣瓣膜開啟到二尖瓣脈瓣血流最大時點經過時 間、三尖瓣瓣膜開啟到三尖瓣脈瓣血流最大時點經過時間、主動脈瓣膜開啟到主動脈脈瓣血流最大時點經過時間、肺動脈瓣膜開啟到肺動脈脈瓣血流最大時點經過時間、二尖瓣脈瓣血流最大時點到二尖瓣瓣膜關閉經過時間、三尖瓣脈瓣血流最大時點到三尖瓣瓣膜關閉經過時間、肺動脈脈瓣血流最大時點到肺動脈瓣膜關閉經過時間或主動脈脈瓣血流最大時點到主動脈瓣膜關閉經過時間。 The cardiac pulsation physiology measuring system according to claim 19, wherein the time difference of the at least two feature points is a total time when the mitral valve is opened to the mitral valve closing time, and the tricuspid valve is opened to the tricuspid valve. Total valve closure time, total time from pulmonary valve opening to pulmonary valve closure, total aortic valve opening to aortic valve closure, total tricuspid valve closure to total pulmonary valve opening, mitral valve closure to aortic valve opening Time, mitral valve opening to the mitral valve The elapsed time from the time when the tricuspid valve opens to the maximum flow of the tricuspid valve, the time when the aortic valve opens to the maximum flow of the aortic valve, the time when the pulmonary valve opens to the maximum flow of the pulmonary valve, The time of mitral valve venous flow to the time of mitral valve closure, the maximum time of tricuspid valvular blood flow to the time of tricuspid valve closure, the maximum time of pulmonary valvular blood flow to the time of pulmonary valve closure or The time from the maximum flow of the aortic valve to the aortic valve closure time. 如專利範圍第19項所述之心臟搏動生理之量測系統,其中該至少二特徵點之該區間斜率係為二尖瓣膜血流速度出現遞增段、三尖瓣膜血流速度出現遞增段、肺動脈瓣膜血流速度出現遞增段、主動脈瓣膜血流速度出現遞增段、二尖瓣膜血流速度出現遞減段、三尖瓣膜血流速度出現遞減段、肺動脈瓣膜血流速度出現遞減段或主動脈瓣膜血流速度出現遞減段。 The measurement system of cardiac pulsation physiology according to claim 19, wherein the slope of the interval of the at least two characteristic points is an increasing segment of the mitral valve blood flow velocity, an increasing segment of the tricuspid valve blood flow velocity, and a pulmonary artery The valve blood flow velocity increases, the aortic valve blood flow velocity increases, the mitral valve blood flow velocity decreases, the tricuspid valve blood flow velocity decreases, the pulmonary valve blood flow velocity decreases, or the aortic valve The blood flow velocity appears to decrease. 一種心臟搏動生理之量測系統,該系統包含:複數個心電圖量測電極,貼附於一受測者身上之複數個量測部位以感測及產生一心電圖;至少一慣性運動感測器,其係設置於對應待量測心臟瓣膜位置之至少一體表區域,用以感測該體表區域震動之至少一加速度量測訊號;一第三訊號接收比對模組,其係同步接收該心電圖訊號及該至少一加速度量測訊號,使該至少一加速度量測訊號形成至少一心震圖訊號,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,同時該第三訊號接收比對模組以一演算法依據該至少一起始點於該至少一心震圖訊號上擷取至少一特徵點,形成一第三比對結果,其中該演算法係以該至少一心震圖訊號時間軸上以該起始點為基準,於一目標時間範圍進行該至少一特徵點之擷取。 A heart beat physiological measurement system, the system comprising: a plurality of electrocardiographic measurement electrodes attached to a plurality of measurement sites on a subject to sense and generate an electrocardiogram; at least one inertial motion sensor, The system is disposed at at least one integrated measurement area corresponding to the position of the heart valve to be measured, and is configured to sense at least one acceleration measurement signal of the vibration of the body surface region; and a third signal receiving comparison module that synchronously receives the electrocardiogram The signal and the at least one acceleration measurement signal cause the at least one acceleration measurement signal to form at least one heartbeat signal, and use the ECG signal to generate at least one starting point on the at least one heartbeat signal, and the third signal is received The comparison module acquires at least one feature point on the at least one heartbeat signal according to the at least one starting point to form a third comparison result, wherein the algorithm uses the at least one heartbeat signal time The at least one feature point is captured on the axis based on the starting point. 如專利範圍第31項所述之心臟搏動生理之量測系統,該系統進一步包含: 一傳輸單元,其與該第三訊號接收比對模組連接,接收該第三比對結果、該心電圖訊號及該至少一心震圖訊號,並進行一資料之傳輸;以及一終端裝置,其與該傳輸單元連接,接收該傳輸單元所傳輸之該資料,並進行該資料之呈現或進階處理。 The system for measuring cardiac pulsation physiology as described in claim 31, the system further comprising: a transmission unit connected to the third signal receiving comparison module, receiving the third comparison result, the electrocardiogram signal and the at least one heartbeat signal, and transmitting a data; and a terminal device, The transmission unit is connected, receives the data transmitted by the transmission unit, and performs presentation or advanced processing of the data. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 31, wherein the at least one integrated surface region comprises a second rib of the left sternal border and extends to the right across the sternum stem to the second and third intercostal aorta of the right sternal border. The valve body area. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第五肋間擴展至腋後線之二尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 31, wherein the at least one integrated table region comprises a mitral valve surface region in which a fifth intercostal space of the right sternum extends to the posterior tibial line. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間之肺動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 31, wherein the at least one integrated table region comprises a second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region and extends downward to the sternum. The area of the pulmonary valve body at the third intercostal space on the left edge. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 31, wherein the at least one integrated table region comprises a tricuspid valve surface region extending to the right of the fourth and fifth intercostals of the right sternal border. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該演算法係包含:以該心電圖上之R波峰值於主動脈瓣心震圖訊號上產生一第一起始點,於該第一起始點之後0.06秒內之一最小谷值點之後擷取一峰值點,以該峰值點定義為側壁心肌收縮最大速度特徵點;於該第一起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為主動脈瓣血流最大特徵點;以心電圖上之R波峰值於肺動脈瓣心震圖訊號上產生一第二起始點,於該第二起始點之後0.07秒至0.1秒內擷取一最大峰值點,以該最大峰值點定義為中膈心肌收縮最大速度特徵點; 於該第二起始點之後0.085秒至0.15秒之間之第二個峰值點,以該峰值點定義為肺動脈瓣血流最大特徵點;以心電圖上之R波峰值於一二尖瓣心震圖訊號上產生一第三起始點,於該第三起始點之前0.02秒向前算之第二個峰值點,以該峰值點定義為二尖瓣心房收縮血流最大特徵點;於該第三起始點之後0.05~0.11秒之間之一最大峰值點,以該峰值點定義為側壁心肌收縮最大速度特徵點;以該心電圖上之R波峰值於一三尖瓣心震圖訊號上產生一第四起始點,並於該第四起始點之後0.05~0.11秒之間之第二個峰值點,以該峰值點定義為中膈心肌收縮最大速度特徵點;或以上其中之一者或其任意之組合。 The measurement system of cardiac pulsation physiology according to claim 31, wherein the algorithm comprises: generating a first starting point on the aortic valve heartbeat signal by using the R wave peak on the electrocardiogram; A peak point is taken after a minimum valley point within 0.06 seconds after the first starting point, and the peak point is defined as a characteristic point of the wall myocardial contraction maximum velocity; and is taken within 0.07 seconds to 0.1 seconds after the first starting point a maximum peak point at which the maximum characteristic point of the aortic valve blood flow is defined; and a peak of the R wave on the electrocardiogram produces a second starting point on the pulmonary heartbeat signal, at the second start A maximum peak point is taken from 0.07 seconds to 0.1 seconds after the point, and the maximum peak point is defined as the maximum velocity characteristic point of the middle myocardial contraction; The second peak point between 0.085 seconds and 0.15 seconds after the second starting point, the peak point is defined as the maximum characteristic point of pulmonary valve blood flow; the R wave peak on the electrocardiogram is in a mitral heart attack A third starting point is generated on the signal signal, and the second peak point is calculated forward 0.02 seconds before the third starting point, and the peak point is defined as the maximum characteristic point of the mitral atrial contraction blood flow; One of the maximum peak points between 0.05 and 0.11 seconds after the third starting point, which is defined as the maximum speed characteristic point of the wall myocardial contraction; the R wave peak on the electrocardiogram is on a tricuspid heartbeat signal Generating a fourth starting point and a second peak point between 0.05 and 0.11 seconds after the fourth starting point, wherein the peak point is defined as a maximum speed characteristic point of the middle myocardial contraction; or one of the above Or any combination thereof. 如專利範圍第31項所述之心臟搏動生理之量測系統,其中該些心電圖量測電極及該些慣性運動感測器可進一步設置於一貼身衣物之內側,且該些慣性運動感測器同樣係設置於對應心臟瓣膜位置之該至少一體表區域進行量測。 The cardiac pulsation physiology measuring system of claim 31, wherein the electrocardiographic measuring electrodes and the inertial motion sensors are further disposed on an inner side of a close-fitting clothing, and the inertial motion sensors The measurement is also performed on the at least one integrated surface region corresponding to the position of the heart valve. 一種心臟搏動生理之量測系統,該系統包含:複數個心電圖量測電極,貼附於受測者身上之量測部位以感測及產生一心電圖訊號;至少一慣性運動感測器,其係設置於對應心臟瓣膜位置之至少一體表區域,用以感測該體表區域震動之至少一加速度量測訊號;一第四訊號接收比對模組,其係同步接收該心電圖訊號及該至少一加速度量測訊號,使該至少一加速度量測訊號形成至少一心震圖訊號,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,同時該第四訊號接收比對模組以一演算法依據該至少一起始點於該至少一心震圖訊號上擷取至少一特徵點,其中該演算法係以該至少一心震圖訊號時間軸上以該起始點為基準,搭配該心電圖訊號於該至少一心震圖訊號上產生至少一對應點,於至少 一起始點與該至少一對應點之間進行該至少一特徵點之擷取,形成一第四比對結果。 A heartbeat physiology measuring system, the system comprising: a plurality of electrocardiographic measuring electrodes attached to a measuring part of the subject to sense and generate an electrocardiogram signal; at least one inertial motion sensor, the system The at least one integrated surface area corresponding to the position of the heart valve is configured to sense at least one acceleration measurement signal of the vibration of the surface area; and the fourth signal receiving comparison module synchronously receives the electrocardiogram signal and the at least one The acceleration measurement signal is configured to form at least one heartbeat signal by the at least one acceleration measurement signal, and generate at least one starting point on the at least one heartbeat signal by using the electrocardiogram signal, and the fourth signal receiving the comparison module An algorithm extracts at least one feature point on the at least one heartbeat signal according to the at least one starting point, wherein the algorithm uses the electrocardiogram based on the starting point on the time axis of the at least one heartbeat signal The signal generates at least one corresponding point on the at least one heartbeat signal, at least A capture of the at least one feature point is performed between a starting point and the at least one corresponding point to form a fourth alignment result. 如專利範圍第39項所述之心臟搏動生理之量測系統,該系統進一步包含:一傳輸單元,其與該第四訊號接收比對模組連接,接收該第四比對結果、該心電圖訊號及該至少一心震圖訊號,並進行一資料之傳輸;以及一終端裝置,其與該傳輸單元連接,接收該傳輸單元所傳輸之該資料,並進行該資料之呈現或進階處理。 The system for measuring cardiac pulsation physiology according to claim 39, further comprising: a transmission unit connected to the fourth signal receiving comparison module, receiving the fourth comparison result, and the electrocardiogram signal And the at least one heartbeat signal, and transmitting a data; and a terminal device connected to the transmission unit, receiving the data transmitted by the transmission unit, and performing rendering or advanced processing of the data. 如專利範圍第39項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 39, wherein the at least one integrated surface region comprises a second rib of the left sternal border and extends to the right across the sternum stem to the second and third intercostal aorta of the right sternal border. The valve body area. 如專利範圍第39項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第五肋間擴展至腋後線之二尖瓣體表區域。 The cardiac pulsation physiology measuring system of claim 39, wherein the at least one integrated table region comprises a mitral valve surface region extending from the fifth intercostal space of the right sternum to the posterior tibial line. 如專利範圍第39項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間之肺動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 39, wherein the at least one integrated table region comprises a second rib of the left sternal border and extends upward to the first intercostal space, the left subclavian region and extends downward to the sternum The area of the pulmonary valve body at the third intercostal space on the left edge. 如專利範圍第39項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 39, wherein the at least one integrated table region comprises a tricuspid valve surface region extending to the right from the fourth and fifth intercostals of the right sternal border. 如專利範圍第39項所述之心臟搏動生理之量測系統,其中該演算法係包含:以心電圖上之P波峰值於主動脈瓣心震圖訊號上產生一第一對應點,以心電圖上之R波峰值於主動脈瓣心震圖訊號上產生一第一起始點,於該第一起始點與該第一對應點之間擷取一最大峰值點,以該最大峰值點定義為二尖瓣心房收縮血流最大特徵點;或 以心電圖上之T波峰值於主動脈瓣心震圖訊號上產生一第二對應點,於該第一起始點之後0.1秒至該第二對應點擷取一最大峰值點,以該最大峰值點定義為肺動脈瓣血流最大特徵點;以上其中之一者或其任意之組合。 The system for measuring cardiac pulsation physiology according to claim 39, wherein the algorithm comprises: generating a first corresponding point on the electrocardiogram on the electrocardiogram by generating a first corresponding point on the signal of the P wave on the electrocardiogram The R wave peak generates a first starting point on the aortic valve heartbeat signal, and a maximum peak point is drawn between the first starting point and the first corresponding point, and the maximum peak point is defined as a cusp The maximum characteristic point of the atrial contraction of blood flow; or Generating a second corresponding point on the aortic valve heartbeat signal on the electrocardiogram, and extracting a maximum peak point from the first starting point 0.1 second to the second corresponding point to the maximum peak point Defined as the largest characteristic point of pulmonary valve blood flow; one of the above or any combination thereof. 一種心臟搏動生理之量測系統,該系統包含:複數個心電圖量測電極,貼附於受測者身上之量測部位以感測及產生一心電圖訊號;至少一慣性運動感測器,其係設置於對應心臟瓣膜位置之至少一體表區域,用以感測該體表區域震動之至少一加速度量測訊號;一第五訊號接收比對模組,其係同步接收該心電圖訊號及該至少一加速度量測訊號,該至少一加速度量測訊號形成至少一心震圖訊號,並利用該心電圖訊號於該至少一心震圖訊號上產生至少一起始點,該第五訊號接收比對模組以一演算法依據該起始點於該至少一心震圖訊號上擷取至少二特徵點,獲得該至少二特徵點之一時間差或一區間斜率,形成一第五比對結果。 A heartbeat physiology measuring system, the system comprising: a plurality of electrocardiographic measuring electrodes attached to a measuring part of the subject to sense and generate an electrocardiogram signal; at least one inertial motion sensor, the system The at least one integrated area of the corresponding heart valve position is configured to sense at least one acceleration measurement signal of the vibration of the body surface area; and the fifth signal receiving comparison module receives the electrocardiogram signal and the at least one The acceleration measurement signal, the at least one acceleration measurement signal forms at least one heartbeat signal, and generates at least one starting point on the at least one heartbeat signal by using the electrocardiogram signal, and the fifth signal receiving comparison module performs a calculation The method obtains at least two feature points on the at least one heartbeat signal according to the starting point, and obtains a time difference or a section slope of the at least two feature points to form a fifth comparison result. 慣性運動感測器慣性運動感測器慣性運動感測器如專利範圍第46項所述之心臟搏動生理之量測系統,其進一步包含:一傳輸單元,其與該第五訊號接收比對模組連接,接收該第五比對結果、該心電圖訊號及該至少一心震圖訊號,並進行一資料之傳輸;以及一終端裝置,其與該傳輸單元連接,用以接收該傳輸單元所傳輸之該資料,並進行該資料之呈現或進階處理。 The inertial motion sensor inertial motion sensor inertial motion sensor, such as the cardiac pulsation physiological measurement system of claim 46, further comprising: a transmission unit that receives the comparison mode with the fifth signal a group connection, receiving the fifth comparison result, the electrocardiogram signal and the at least one heartbeat signal, and transmitting a data; and a terminal device connected to the transmission unit for receiving the transmission by the transmission unit The information and the presentation or advanced processing of the information. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋向右橫過胸骨柄擴展到胸骨右緣第二、三肋間之主動脈瓣體表區域。 The cardiac pulsation physiology measuring system according to claim 46, wherein the at least one integrated table region comprises a second rib of the left sternal border and extends to the right across the sternum stem to the second and third intercostal aorta of the right sternal border. The valve body area. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第五肋間擴展至腋後線之二尖瓣體表區 域。 The heartbeat physiology measuring system of claim 46, wherein the at least one integrated table region comprises a mitral valve surface region extending from the fifth intercostal space of the right sternal border to the posterior tibial line. area. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨左緣第二肋間為中心向上擴至第一肋間、左鎖骨下區並向下延伸至胸骨左緣第三肋間之肺動脈瓣體表區域。 The heartbeat physiology measuring system of claim 46, wherein the at least one integrated table region comprises a second intercostal space of the left sternal border, extending upward to the first intercostal space, the left subclavian region, and extending downward to the sternum The area of the pulmonary valve body at the third intercostal space on the left edge. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該至少一體表區域係包含胸骨右緣第四、五肋間向右擴展之三尖瓣體表區域。 The heartbeat physiology measuring system of claim 46, wherein the at least one integrated table region comprises a tricuspid valve surface region extending to the right of the fourth and fifth intercostals of the right sternal border. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該些心電圖量測電極及該些慣性運動感測器可進一步設置於一貼身衣物之內側,且該些慣性運動感測器同樣係設置於對應心臟瓣膜位置之該至少一體表區域進行量測。 The cardiac pulsation physiology measuring system of claim 46, wherein the electrocardiographic measuring electrodes and the inertial motion sensors are further disposed on an inner side of a close-fitting garment, and the inertial motion sensors The measurement is also performed on the at least one integrated surface region corresponding to the position of the heart valve. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該些特徵點係選自於一二尖瓣心房收縮血流最大特徵點、一側壁心肌收縮最大速度特徵點、一主動脈瓣血流最大特徵點、一中膈心肌收縮最大速度特徵點、一肺動脈瓣血流最大特徵點中之一者或其任意之組合。 The heartbeat physiology measuring system according to claim 46, wherein the characteristic points are selected from a maximum characteristic point of a mitral atrial contraction blood flow, a side wall myocardial contraction maximum velocity characteristic point, and an aorta. One of the maximum characteristic points of the valvular blood flow, one of the maximum speed characteristic points of myocardial contraction, one of the largest characteristic points of the pulmonary valve blood flow, or any combination thereof. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該至少二特徵點之該區間斜率係為血流速度出現遞增段之斜率或血流速度出現遞減段之斜率。 The system for measuring cardiac pulsation physiology according to claim 46, wherein the slope of the interval of the at least two feature points is a slope of an increasing segment of the blood flow velocity or a slope of a decreasing segment of the blood flow velocity. 如專利範圍第46項所述之心臟搏動生理之量測系統,其中該演算法係包含:於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞增速率;於該至少一心震圖訊號上擷取該二尖瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為二尖瓣膜血流速度出現遞減速率; 於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞增速率;於該至少一心震圖訊號上擷取該主動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為主動脈瓣膜血流速度出現遞減速率;於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點前之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞增速率;或於該至少一心震圖訊號上擷取該肺動脈瓣心房收縮血流最大特徵點及該特徵點後之一波谷點,計算兩點連線之斜率,作為肺動脈瓣膜血流速度出現遞減速率;以上其中之一者或其任意之組合。 The system for measuring cardiac pulsation physiology according to claim 46, wherein the algorithm comprises: capturing a maximum characteristic point of the mitral atrial constricted blood flow on the at least one cardiac image signal and before the characteristic point One of the trough points, the slope of the two-point line is calculated as an increasing rate of the mitral valve blood flow velocity; the maximum characteristic point of the mitral atrial systolic blood flow is captured on the at least one cardiac image signal and the characteristic point is One trough point, calculate the slope of the two-point line, as the deceleration rate of the mitral valve blood flow velocity; Obtaining a maximum characteristic point of the aortic valve atrial constricted blood flow and a trough point before the characteristic point on the at least one cardiac image signal, and calculating a slope of the two-point connection as an increasing rate of aortic valve blood flow velocity; Obtaining a maximum characteristic point of the aortic valve atrial constricted blood flow and a trough point of the characteristic point on the at least one cardiac image signal, and calculating a slope of the two-point connection as a deceleration rate of the aortic valve blood flow velocity; Obtaining a maximum characteristic point of the atrial systolic blood flow of the pulmonary valve and a trough point before the characteristic point on the at least one cardiac image signal, and calculating a slope of the two-point connection as an increasing rate of pulmonary valve blood flow velocity; or The maximum characteristic point of the atrial systolic blood flow of the pulmonary valve and the trough point of the characteristic point are obtained on the at least one cardiac image signal, and the slope of the two-point connection is calculated as a deceleration rate of the pulmonary valve blood flow velocity; One or any combination thereof.
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TWI678187B (en) * 2018-10-02 2019-12-01 長庚大學 Method for expressing characteristic points of heart beat and expressing physiological state of heart by using sequence diagram
CN111407264A (en) * 2020-04-08 2020-07-14 苏州无双医疗设备有限公司 T wave over-sensing detection method and implantable medical equipment
CN114129170A (en) * 2020-12-03 2022-03-04 刘向阳 Cardiovascular function evaluation system

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TWI684432B (en) * 2018-07-24 2020-02-11 長庚大學 Portable device and method for heart state measurement

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI678187B (en) * 2018-10-02 2019-12-01 長庚大學 Method for expressing characteristic points of heart beat and expressing physiological state of heart by using sequence diagram
CN111407264A (en) * 2020-04-08 2020-07-14 苏州无双医疗设备有限公司 T wave over-sensing detection method and implantable medical equipment
CN114129170A (en) * 2020-12-03 2022-03-04 刘向阳 Cardiovascular function evaluation system

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