TWI608823B - ECG measurement method - Google Patents

Description

ECG measurement method

The invention relates to a measuring method of an electrocardiogram, in particular to a measuring method of a human body electrocardiogram which can quickly mark a measuring position of a correct standard electrocardiogram according to a human body appearance structure of different body sizes according to different body size.

The traditional twelve-lead measurement specification for measuring and analyzing human ECG information must rely on professionally trained medical personnel to be able to carry out efficiently and efficiently. For the average user, it takes more time to find Place the measurement of the correct position of the electrode of the electrocardiogram, and because of the difference in technique and proficiency, each person, or even the same person, has a slight difference in the position of the marked and placed electrodes at each test, resulting in measurement error. It affects the accuracy of medical diagnosis and treatment, and even brings the risk of misjudgment. According to the US standard 12-lead ECG measurement specification, a total of ten electrodes are required, as shown in Figure 1, which are RA (right arm, avoiding the position where the bone protrudes), LA (and RA with the same position, But in the left hand), RL (on the right leg, avoiding the position where the bone protrudes), LL (and RL in the same position, but in the left leg, also requires symmetry), V1 (in the fourth intercostal space, close to the sternum right) Edge), V2 (in the fourth intercostal space, close to the left sternal border), V3 (placed between V2 and V4), V4 (at the intersection of the fifth intercostal space and the midline of the clavicle), V5 (with V4 level) , but located on the front line), V6 (with V4 and V5 levels, on the middle line).

Please refer to the Chinese Patent Publication No. CN1191784C "Band device for placing a measuring electrode of a heart motor". The prior art disclosed is to provide a belt-shaped device placed on the chest of a patient. Motor measurement. The device comprises a strip of non-conductive film having: a set of slits disposed along a length of the strip at a selected anatomical location; and a connection terminal disposed at both ends of the strip for connection to a monitoring device: a conductive edge trace, Extending around the slit, the trace is exposed on the outside of the strip and insulated from the inner side; the lead extends from the connecting terminal to the trace; the electrode pad is placed on the outer side of the strip, at least partially extending over the slit, each mat having Conductive inside, In order to make electrical contact with a trace and the patient's skin.

In the US Patent Publication No. US20110270100 A1, "Multi-Heart ECG System for Screening Neonatal Electrocardiograms", the prior art disclosed is to provide a device comprising a chest strap and an electrocardiogram. a data logger comprising a plurality of chest pole leads and a plurality of limb pole guides for electrocardiography measurement; the electrocardiograph data recorder is coupled to the chest strap, and the electrocardiograph data recorder is configured to Receiving the plurality of chest poles and the signal of the plurality of limb poles.

The prior art disclosed in the US Patent Publication No. US7753845 B2, "Remote Diagnostic Equipment", discloses a system for collecting a plurality of diagnostic information and transmitting diagnostic information to a remote location. The system includes a glove member that is adapted to be worn on a person's hand and an interface member that is capable of transmitting information and receiving information from a remote location. The glove member includes a palm portion, a wrist portion and five phalanges, the glove member further includes an EKG diagnostic device, a blood pressure and pulse rate diagnostic device, and a temperature device, and the glove member may further include an oxygen percentage diagnostic device And an auscultation device.

However, the foregoing prior art does not clarify how to find a specific solution for the human body of different body sizes in a convenient and quick way to find the correct position of the electrodes for measuring the electrocardiogram, for the general public without professional training. It is difficult to find the correct position of the electrodes for measuring ECG in a short period of time for patients of various sizes, such as newborn babies, middle-aged, elderly, etc., and each electrode placement must be re-measured and marked separately. This will not only affect the medical efficiency, but also easily lead to misjudgment due to measurement errors.

Therefore, the present invention provides a human body electrocardiogram measurement method, which marks two or more electrode calibration positions for measuring human body electrocardiogram information by human appearance characteristics, and can be used by professional medical training personnel or without professional medical treatment. The general public trained to find the correct position of the electrodes for measuring the electrocardiogram in a short period of time, and each electrode placement does not need to be re-measured and marked separately, improving medical efficiency and reducing false positives.

In view of the above-mentioned shortcomings of the prior art, the main object of the present invention is to provide a heart The electrogram measurement method can enable the general public who have not received professional medical training to find the correct position of the electrodes for measuring the electrocardiogram according to different size users in a short time, and each electrode placement does not need to be separately Re-measurement and labeling, so as to improve medical efficiency, ease of use and reduce misjudgment.

In the present invention, the shoulder width refers to the length of the inter-acromial within the definition of human body measurement, and does not depend on the inter-rater reliability; and the user refers to the electrocardiogram. Patients (ECG) measured, or those who were measured ECG, are described here.

In order to achieve the foregoing and other objects, the method for measuring a human electrocardiogram of the present invention is applied to an environment in which two or more electrodes are used for performing electrocardiogram measurement of a human body, and includes the following procedures: points and lines utilizing a human body structure At least one of the features is used to mark two or more electrode calibration positions for measuring human body electrocardiogram information; and two or more electrodes are disposed on the two or more electrode calibration positions for measuring human body electrocardiogram information And activating a human body electrocardiography measurement system for performing measurement; wherein the at least one feature is used to classify and classify at least one user into at least two size steps; the two or more electrode calibration positions are in accordance with the standard Measurement specifications for twelve-lead ECG.

When the telescopic conductivity guiding device of the present invention is used, the user can mark two or more electrode calibration positions for measuring the electrocardiogram information of the human body by using at least one of the features, the line and the surface of the human appearance structure. Let the professional medical training personnel or the general public who have not received professional medical training find the correct position of the electrodes for measuring the electrocardiogram in a short time, and each electrode placement does not need to be re-measured and marked separately, so that the improvement can be achieved. Medical efficiency and reduce the purpose of misjudgment.

RA‧‧‧Right arm electrode

LA‧‧‧Left arm electrode

RL‧‧‧Right leg electrode

LL‧‧‧Left leg electrode

V1‧‧‧ first electrode

V2‧‧‧second electrode

V3‧‧‧ third electrode

V4‧‧‧fourth electrode

V5‧‧‧ fifth electrode

V6‧‧‧ sixth electrode

A~E‧‧‧ spacing

P1~P3‧‧‧ program

S01~S04‧‧‧Steps

1 is a schematic diagram showing an electrode calibration position of a standard electrocardiogram of the prior art; FIG. 2 is a flow chart for showing a flow program for explaining a human electrocardiogram measurement method of the present invention; and FIG. 3 is a schematic diagram for Displaying the electric power of the human body electrocardiogram measuring method of the present invention The pole calibration position indication operation; FIG. 4 is a schematic diagram for displaying the electrode calibration position indication data table of the first embodiment of the electrode calibration position indication operation in FIG. 3; FIG. 5 is a schematic diagram, A schematic diagram showing an electrode calibration position indication data table of the second embodiment of the operation of the electrode calibration position indication operation in FIG. 3; FIG. 6 is a flow chart for showing the human body electrocardiogram measurement method of the present invention. The steps included in the electrode calibration position program; and Figure 7 shows the operation diagram of marking more than two electrode calibration positions using a dedicated ruler.

The embodiments of the present invention are described by way of specific examples, and those skilled in the art can readily appreciate the other advantages and advantages of the present invention. The invention may be embodied or applied in various other specific embodiments, and various modifications and changes may be made without departing from the spirit and scope of the invention.

It is to be understood that the structure, the proportions, the size and the like of the present invention are intended to be used in conjunction with the disclosure of the specification, and are not intended to limit the scope of the invention. The conditions are not technically meaningful, and any modification of the structure, change of the proportional relationship or adjustment of the size should be disclosed in the present invention without affecting the effects and achievable effects of the present invention. The technical content can be covered.

Fig. 2 is a flow chart for showing a flow chart for explaining a human electrocardiogram measurement method of the present invention. As shown in FIG. 2, first, in the program P1, at least one of the points, lines and faces of the human body appearance structure is used to mark two or more electrode calibration positions for measuring the electrocardiogram information of the human body, and Program P2.

In the program P2, two or more electrodes are disposed on the two or more electrode calibration positions for measuring the electrocardiogram information of the human body, and the process proceeds to the program P3.

In the process P3, the human body electrocardiography measurement system is activated to perform measurement; wherein the at least one feature is used to classify and classify at least one user into at least two size steps; the two or more electrode calibration positions are consistent Standard 12-lead ECG measurement specification.

FIG. 3 is a schematic view showing an electrode calibration position indicating operation for explaining a human electrocardiogram measuring method of the present invention; and FIG. 4 is a schematic view for displaying an electrode calibration position indicating operation in FIG. A schematic diagram of the electrode calibration position indication data table of the first embodiment. In the measurement method using the electrocardiogram of the present invention, the at least one feature may include one of a shoulder width of at least one user or a quarter of a chest of at least one user. In a first embodiment of the invention, the at least one feature is used to classify and classify at least one user into two size steps (as shown in FIG. 4). The at least one user applies the first size step when at least one of the user has a shoulder width of less than 32.5 cm or a quarter of the chest is less than 15.6 cm. The at least one user applies a second size step when at least one of the user has a shoulder width greater than 32.5 cm or a quarter chest greater than 15.6 centimeters.

In the first embodiment of the present invention, the two or more electrode calibration positions include a right arm electrode RA, a first electrode V1, a second electrode V2, a fourth electrode V4, and a sixth electrode V6; When the at least one user meets the first size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 12 to 18 cm, and the first electrode V1 and the second electrode V2 The pitch (pitch B) is 2.5 to 6 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 4.5 to 7.5 cm, and the pitch (pitch) of the fourth electrode V4 and the sixth electrode V6 D) is 4.5 to 7.5 cm, and the extension line of the first electrode V1 and the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 2 to 5 cm; When the user meets the second size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 18 to 26 cm, and the distance between the first electrode V1 and the second electrode V2 (pitch B) 6 to 10 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 7.5 to 12.5 cm, and the pitch (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 7.5~ 12 The distance between the extension line of the first electrode V1 and the second electrode V2 and the extension line (pitch E) of the fourth electrode V4 and the sixth electrode V6 is 5 to 9 cm.

FIG. 3 is a schematic view showing an electrode calibration position marking operation for explaining a human electrocardiogram measuring method of the present invention; and FIG. 5 is a schematic view for displaying an electrode calibration position indicating operation in FIG. A schematic diagram of the electrode calibration position indication data table of the second embodiment. In the measurement method using the electrocardiogram of the present invention, the at least one feature may include one of a shoulder width of at least one user or a quarter of a chest of at least one user. In a second embodiment of the present invention, the at least one feature is used to classify and classify at least one user into eight Size step size (as shown in Figure 5).

In the method of measuring an electrocardiogram according to the second embodiment of the present invention, the at least one feature comprises at least one shoulder width of the user. Wherein, the shoulder width comprises eight size steps, wherein the first size step is less than 18 cm; the second size is 18 to 23 cm; the third size is 23.1 to 27 cm; the fourth size The distance is 27.1 to 32.5 cm; the fifth dimension is 32.6 to 37.5 cm; the sixth dimension is 37.6 to 42 cm; the seventh dimension is 42.1 to 46 cm; and the eighth dimension is greater than 46 cm.

In the measuring method of the electrocardiogram according to the second embodiment of the present invention, the two or more electrode calibration positions include a right arm electrode RA, a first electrode V1, a second electrode V2, a fourth electrode V4, and a The sixth electrode V6; wherein, when the shoulder width of the at least one user conforms to the first size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 12 cm, and the first electrode V1 The pitch (pitch B) from the second electrode V2 is 2.5 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 4.5 cm, and the pitch of the fourth electrode V4 and the sixth electrode V6 (pitch D) is 4.5 cm, the extension line of the first electrode V1 and the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 2 cm; the at least one user When the shoulder width conforms to the second size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 14 cm, and the distance between the first electrode V1 and the second electrode V2 (pitch B) 4 cm, the distance (pitch C) between the second electrode V2 and the fourth electrode V4 is 5.5 cm, and the distance between the fourth electrode V4 and the sixth electrode V6 ( The D1 is 5.5 cm, the extension line of the first electrode V1 and the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 3 cm; the at least one user When the shoulder width conforms to the third size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 16 cm, and the distance (pitch B) between the first electrode V1 and the second electrode V2 is 5 cm, the distance (pitch C) between the second electrode V2 and the fourth electrode V4 is 6.5 cm, and the distance (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 6.5 cm. The first electrode V1 The extension line of the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 4 cm; when the shoulder width of the at least one user conforms to the fourth width V4 step. The distance (pitch A) between the right arm electrode RA and the first electrode V1 is 18 cm, the pitch (pitch B) between the first electrode V1 and the second electrode V2 is 6 cm, and the second electrode V2 and the second electrode The pitch (pitch C) of the four electrodes V4 is 7.5 cm, and the pitch (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 7.5 cm, and the first electrode V1 and the second electrode V2 The extension line spacing (pitch E) between the extension line and the fourth electrode V4 and the sixth electrode V6 is 5 cm; when the shoulder width of the at least one user conforms to the fifth size step, the right arm electrode RA and the first The pitch (pitch A) of one electrode V1 is 20 cm, the pitch (pitch B) of the first electrode V1 and the second electrode V2 is 7 cm, and the pitch of the second electrode V2 and the fourth electrode V4 (pitch C) a distance of 9 cm, a distance (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 9 cm, an extension line of the first electrode V1, the second electrode V2, and the fourth electrode V4, the sixth The extension line spacing (pitch E) of the electrode V6 is 6 cm; when the shoulder width of the at least one user conforms to the sixth size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 22 cm. The pitch (pitch B) between the first electrode V1 and the second electrode V2 is 8 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 10 cm, and the fourth electrode V4 and the The pitch (pitch D) of the sixth electrode V6 is 10 cm, and the distance between the extension line of the first electrode V1 and the second electrode V2 and the extension line of the fourth electrode V4 and the sixth electrode V6 (pitch) E) 7 cm; when the shoulder width of the at least one user conforms to the seventh size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 24 cm, and the first electrode V1 and the The pitch (pitch B) of the second electrode V2 is 9 cm, the pitch (pitch C) of the second electrode V2 and the fourth electrode V4 is 11 cm, and the pitch (pitch) of the fourth electrode V4 and the sixth electrode V6 D) is 11 cm, the extension line of the first electrode V1 and the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 8 cm; the shoulder of the at least one user When the width conforms to the eighth size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 26 cm, and the distance (pitch B) between the first electrode V1 and the second electrode V2 is 10. The distance between the second electrode V2 and the fourth electrode V4 (pitch C) is 12.5 cm, and the pitch (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 12.5 cm. The first electrode V1. The extension line of the second electrode V2 and the extension line pitch (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 9 cm.

In the method of measuring an electrocardiogram according to the second embodiment of the present invention, the at least one feature comprises at least one quarter of a chest of the user. Wherein, the quarter bust comprises eight size steps, wherein the first size step is less than 10.1 cm; the second size step is 10.1 to 11.5 cm; and the third size is 11.6 to 13 cm; The four-step pitch is 13.1 to 15.6 cm; the fifth dimension is 15.7 to 17 cm; the sixth dimension is 17.1 to 18.4 cm; the seventh dimension is 18.5 to 21.2 cm; and the eighth dimension is greater than 21.2 cm.

In the measuring method of the electrocardiogram according to the second embodiment of the present invention, the two or more electric powers The pole calibration position includes a right arm electrode RA, a first electrode V1, a second electrode V2, a fourth electrode V4, and a sixth electrode V6; wherein, the at least one user's quarter bust conforms to the In the first size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 12 cm, and the distance (pitch B) between the first electrode V1 and the second electrode V2 is 2.5 cm. The distance (pitch C) between the second electrode V2 and the fourth electrode V4 is 4.5 cm, the pitch (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 4.5 cm, and the first electrode V1 and the second electrode The extension line of the electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 2 cm; when the at least one user's quarter bust conforms to the second size step, the right A distance (pitch A) between the arm electrode RA and the first electrode V1 is 14 cm, a distance (pitch B) between the first electrode V1 and the second electrode V2 is 4 cm, and the second electrode V2 and the fourth electrode The pitch (pitch C) of V4 is 5.5 cm, the pitch (pitch D) of the fourth electrode V4 and the sixth electrode V6 is 5.5 cm, and the first electrode V1 and the second electrode The extension line of V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 3 cm; when the at least one user's quarter bust conforms to the third size step, the right arm The distance (pitch A) between the electrode RA and the first electrode V1 is 16 cm, the pitch (pitch B) between the first electrode V1 and the second electrode V2 is 5 cm, and the second electrode V2 and the fourth electrode V4 The pitch (pitch C) is 6.5 cm, the pitch (pitch D) of the fourth electrode V4 and the sixth electrode V6 is 6.5 cm, and the first electrode V1, the extension line of the second electrode V2, and the fourth electrode V4, the sixth electrode V6 has an extension line spacing (pitch E) of 4 cm; when the at least one user's quarter bust conforms to the fourth width V4 step, the right arm electrode RA and the first electrode V1 The pitch (pitch A) is 18 cm, the pitch (pitch B) between the first electrode V1 and the second electrode V2 is 6 cm, and the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 7.5. a distance between the fourth electrode V4 and the sixth electrode V6 (pitch D) is 7.5 cm, the first electrode V1, the extension line of the second electrode V2 and the fourth electrode V4, the The extension line spacing (pitch E) of the six electrodes V6 is 5 cm; the distance between the right arm electrode RA and the first electrode V1 (pitch A) when the at least one user's quarter bust conforms to the fifth size step The distance between the first electrode V1 and the second electrode V2 (pitch B) is 7 cm, and the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 9 cm, the fourth A distance (pitch D) between the electrode V4 and the sixth electrode V6 is 9 cm, and an extension line between the extension line of the first electrode V1 and the second electrode V2 and the fourth electrode V4 and the sixth electrode V6 (pitch) E) 6 cm; the right arm electrode RA and the first electrode when the at least one user's quarter bust conforms to the sixth size step The pitch (pitch A) of V1 is 22 cm, the pitch (pitch B) between the first electrode V1 and the second electrode V2 is 8 cm, and the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 10 cm, a distance (pitch D) between the fourth electrode V4 and the sixth electrode V6 is 10 cm, an extension line of the first electrode V1, the second electrode V2, and the fourth electrode V4, the sixth electrode V6 The extension line spacing (pitch E) is 7 cm; when the at least one user's quarter bust conforms to the seventh size step, the distance between the right arm electrode RA and the first electrode V1 (pitch A) is 24 The distance between the first electrode V1 and the second electrode V2 (pitch B) is 9 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 11 cm, and the fourth electrode V4 is The pitch (pitch D) of the sixth electrode V6 is 11 cm, and the extension line between the extension line of the first electrode V1 and the second electrode V2 and the fourth electrode V4 and the sixth electrode V6 (pitch E) 8 When the quarter bust of the at least one user meets the eighth size step, the distance (pitch A) between the right arm electrode RA and the first electrode V1 is 26 cm, the first electric The distance (pitch B) between V1 and the second electrode V2 is 10 cm, the pitch (pitch C) between the second electrode V2 and the fourth electrode V4 is 12.5 cm, and the fourth electrode V4 and the sixth electrode V6 The pitch (pitch D) is 12.5 cm, and the extension line of the first electrode V1 and the second electrode V2 and the extension line spacing (pitch E) of the fourth electrode V4 and the sixth electrode V6 are 9 cm.

In the measurement method of the electrocardiogram according to the second embodiment of the present invention, a left arm electrode LA, a right leg electrode RL, a left leg electrode LL, a third electrode V3, and a fifth electrode V5 are included. The third electrode V3 is disposed between the second electrode V2 and the fourth electrode V4, and the fifth electrode V5 is disposed between the fourth electrode V4 and the sixth electrode V6.

In addition to the aforementioned shoulder width and quarter chest circumference, the at least one feature also includes at least one user's age, gender, height, weight, height to weight ratio (BMI), upper limb length, lower limb length, waist circumference, nipple At least one of the spacing.

Fig. 6 is a flow chart showing the steps involved in the procedure of the electrode calibration position for explaining the human electrocardiogram measurement method of the present invention. As shown in FIG. 6, the program P1 further includes the following steps. First, in the first step S01, it is checked whether the size-distance data corresponding to at least one feature of the user exists in the history record, and if so, proceeds to In the second step S02, it is further determined whether at least one of the user's age, height, and weight is different from the previous time; if not, the process proceeds to a third step S03.

In the second step S02, when determining the age, height, and weight of the user If the lesser one is different from the previous one, if not, the previous record in the history record is taken; if yes, the process proceeds to the third step S03.

In the third step S03, when it is judged whether the application software can perform the measurement, if yes, the first method is used (using method A); if not, the process proceeds to the fourth step S04.

In the fourth step S04, when it is judged whether or not the dedicated ruler can be measured, if yes, the second method (using method B) is used; if not, the third method (using method C) is used.

The first method (using method A) is to use a mobile device. First, at least one of a lens and an infrared device are fixed to automatically measure the lens and the at least one user. a distance; after the distance is captured, the at least one user's shoulder is photographed, and the image processing and the distance between the lens and the at least one user are used to calculate the at least one user's The actual shoulder width can be judged by the correspondence of the table as shown in Fig. 3 or Fig. 4.

The foregoing method (using method B) uses a special ruler to measure the shoulder width of the at least one user to confirm that the shoulder width of the at least one user is marked on the special ruler. One of the size steps to find and mark the two or more electrode calibration positions

The foregoing method (using method C) uses the general ruler to measure the shoulder width of the at least one user, and compares the aforementioned dimension steps to find and mark the two or more electrode calibration positions.

Thereby, due to the beginning of using the present invention, the user can take at least one of the points, lines and faces of the human appearance structure (such as shoulder width, chest circumference, age, sex, height, weight, height and weight ratio, upper limb length). , lower limb length, waist circumference, nipple spacing, etc.) to mark more than two electrode calibration positions for measuring ECG information, so that professional medical training personnel or the general public without professional medical training can be in a short time. The correct position of the electrodes for measuring the electrocardiogram is found, and each electrode placement does not need to be re-measured and marked separately, and the correct position can be easily reproduced repeatedly, so that the medical efficiency can be improved and the misjudgment can be reduced.

Although the embodiments have been described with reference to the embodiments of the present invention, it will be understood that Inside. In particular, the components and/or arrangements of the subject combinations may be made within the scope of the disclosure, the drawings, and the scope of the appended claims. Various changes and modifications. Alternative uses will be apparent to those skilled in the art, in addition to variations and modifications in the component parts and/or arrangements.

RA‧‧‧Right arm electrode

LA‧‧‧Left arm electrode

RL‧‧‧Right leg electrode

LL‧‧‧Left leg electrode

V1‧‧‧ first electrode

V2‧‧‧second electrode

V3‧‧‧ third electrode

V4‧‧‧fourth electrode

V5‧‧‧ fifth electrode

V6‧‧‧ sixth electrode

A~E‧‧‧ spacing

Claims (11)

A method for measuring an electrocardiogram is applied to an environment in which two or more electrodes are used for measuring an electrocardiogram of a human body, and includes the following program: an electrode calibration program that utilizes at least one of a point, a line, and a surface of a human body structure. Characterizing two or more electrode calibration positions for measuring body electrocardiogram information; and an electrode configuration program for arranging two or more electrodes on the two or more electrode calibration positions for measuring body electrocardiogram information; And a measurement program, the human electrocardiogram measurement system is activated for measurement; wherein the at least one feature is used to classify and classify at least one user into at least two size steps; the two or more electrode calibration positions The measurement specification conforms to a standard twelve-lead electrocardiogram; wherein the at least one user refers to a patient who performs electrocardiogram (ECG) measurement or a person who measures the electrocardiogram; wherein the at least one characteristic includes the at least one feature The shoulder width of a user, wherein the shoulder width refers to the shoulder length defined by the human body measurement, and does not depend on the inter-tester reliability, the shoulder width Including eight size steps, in the eight size steps, the first size step is less than 18 cm; the second size step is 18 to 23 cm; and the third size is 23.1 to 27 cm; The fourth dimension step is 27.1 to 32.5 cm; the fifth dimension is 32.6 to 37.5 cm; the sixth dimension is 37.6 to 42 cm; the seventh dimension is 42.1 to 46 cm; and the eighth dimension is More than 46 cm. The method for measuring an electrocardiogram according to claim 1, wherein the two or more electrode calibration positions comprise a right arm electrode, a first electrode, a second electrode, a fourth electrode, and a first a six-electrode; wherein, when the shoulder width of the at least one user conforms to the first size step, the distance between the right arm electrode and the first electrode is 11.5 to 12.5 cm, and the distance between the first electrode and the second electrode The distance between the second electrode and the fourth electrode is 4 to 5 cm, the distance between the fourth electrode and the sixth electrode is 4 to 5 cm, and the first electrode and the second electrode are The distance between the extension line and the extension line of the fourth electrode and the sixth electrode is 1.5 to 2.5 cm; when the shoulder width of the at least one user conforms to the second size step, the distance between the right arm electrode and the first electrode is 13.5 to 14.5 cm, the distance between the first electrode and the second electrode is 3.5 to 4.5 cm, the distance between the second electrode and the fourth electrode is 5 to 6 cm, and the fourth electrode and the fourth electrode The distance between the extension lines of the first electrode and the second electrode and the extension line of the fourth electrode and the sixth electrode is 2.5 to 3.5 cm; the shoulder width of the at least one user is matched. In the third dimension step, the distance between the right arm electrode and the first electrode is 15.5 to 16.5 cm, the distance between the first electrode and the second electrode is 4.5 to 5.5 cm, and the second electrode and the fourth electrode The spacing between the electrodes is 6 to 7 cm, the distance between the fourth electrode and the sixth electrode is 6 to 7 cm, and the extension of the first electrode and the second electrode and the extension of the fourth electrode and the sixth electrode The line spacing is 3.5 to 4.5 cm; when the shoulder width of the at least one user conforms to the fourth size step, the distance between the right arm electrode and the first electrode is 17.5 to 18.5 cm, and the first electrode and the second electrode The spacing between the second electrode and the fourth electrode is 7 to 8 cm, the distance between the fourth electrode and the sixth electrode is 7 to 8 cm, the first electrode, the second The extension line of the electrode and the extension line of the fourth electrode and the sixth electrode are 4.5 to 5.5 When the shoulder width of the at least one user conforms to the fifth size step, the distance between the right arm electrode and the first electrode is 19.5 to 20.5 cm, and the distance between the first electrode and the second electrode is 6.5 to 7.5. a distance between the second electrode and the fourth electrode is 8.5 to 9.5 cm, a distance between the fourth electrode and the sixth electrode is 8.5 to 9.5 cm, and an extension line of the first electrode and the second electrode The fourth electrode and the sixth electrode have an extension line spacing of 5.5 to 6.5 cm; when the shoulder width of the at least one user conforms to the sixth size step, the distance between the right arm electrode and the first electrode is 21.5 to 22.5 cm. The distance between the first electrode and the second electrode is 7.5 to 8.5 cm, the distance between the second electrode and the fourth electrode is 9.5 to 10.5 cm, and the distance between the fourth electrode and the sixth electrode is 9.5 to 10.5. a distance between the extension line of the first electrode and the second electrode and the extension line of the fourth electrode and the sixth electrode is 6.5 to 7.5 cm; when the shoulder width of the at least one user conforms to the seventh size step, The distance between the right arm electrode and the first electrode is 23.5 to 24.5 cm The distance between the first electrode and the second electrode is 8.5 to 9.5 cm, the distance between the second electrode and the fourth electrode is 10.5 to 11.5 cm, and the distance between the fourth electrode and the sixth electrode is 10.5 to 11.5 cm. The distance between the extension line of the first electrode and the second electrode and the extension line of the fourth electrode and the sixth electrode is 7.5 to 8.5 cm; when the shoulder width of the at least one user conforms to the eighth size step, the The distance between the right arm electrode and the first electrode is 25.5 to 26.5 cm, the distance between the first electrode and the second electrode is 9.5 to 10.5 cm, and the distance between the second electrode and the fourth electrode is 12 to 13 cm. The distance between the fourth electrode and the sixth electrode is 12 to 13 cm, and the extension of the first electrode and the second electrode and the extension of the fourth electrode and the sixth electrode The line spacing is 8.5 to 9.5 cm. The method for measuring an electrocardiogram according to claim 2, further comprising a left arm electrode, a right leg electrode, a left leg electrode, a third electrode, and a fifth electrode; wherein the third electrode system The second electrode is disposed between the second electrode and the fourth electrode, and the fifth electrode is disposed between the fourth electrode and the sixth electrode. The method of measuring an electrocardiogram according to claim 1, wherein the at least one feature comprises a quarter of a bust of the at least one user. The method for measuring an electrocardiogram according to claim 4, wherein the at least one user's quarter bust comprises more than two of the size steps. The method of measuring an electrocardiogram according to claim 5, wherein the quarter bust of the at least one user comprises eight of the size steps. The method for measuring an electrocardiogram according to claim 6, wherein, among the eight size steps, the first size step is less than 10.1 cm; the second size is 10.1 to 11.5 cm; and the third The step size is 11.6 to 13 cm; the fourth dimension is 13.1 to 15.6 cm; the fifth dimension is 15.7 to 17 cm; the sixth dimension is 17.1 to 18.4 cm; and the seventh dimension is 18.5 to 21.2 cm; the eighth dimension is greater than 21.2 cm. The method for measuring an electrocardiogram according to claim 7, wherein the two or more electrode calibration positions comprise a right arm electrode, a first electrode, a second electrode, a fourth electrode, and a first a sixth electrode; wherein, when the quarter bust of the at least one user conforms to the first size step, the distance between the right arm electrode and the first electrode is 11.5 to 12.5 cm, and the first electrode and the second electrode The distance between the electrodes is 2 to 3 cm, the distance between the second electrode and the fourth electrode is 4 to 5 cm, and the distance between the fourth electrode and the sixth electrode is 4 to 5 cm. The first electrode and the first electrode The extension line of the two electrodes is spaced apart from the extension line of the fourth electrode and the sixth electrode by a distance of 1.5 to 2.5 centimeters; and when the at least one user's quarter bust conforms to the second size step, the right arm electrode and the The first electrode has a pitch of 13.5 to 14.5 cm, and the first electrode and the second electrode The pitch is 3.5 to 4.5 cm, the distance between the second electrode and the fourth electrode is 5 to 6 cm, the distance between the fourth electrode and the sixth electrode is 5 to 6 cm, and the first electrode and the second electrode The extension line is spaced apart from the extension line of the fourth electrode and the sixth electrode by a distance of 2.5 to 3.5 cm; when the at least one user's quarter bust conforms to the third size step, the right arm electrode and the first The distance between the electrodes is 15.5 to 16.5 cm, the distance between the first electrode and the second electrode is 4.5 to 5.5 cm, the distance between the second electrode and the fourth electrode is 6 to 7 cm, and the fourth electrode and the fourth electrode The distance between the extension lines of the first electrode and the second electrode and the extension line of the fourth electrode and the sixth electrode is 3.5 to 4.5 cm; the at least one user's quarter. When the bust conforms to the fourth size step, the distance between the right arm electrode and the first electrode is 17.5 to 18.5 cm, and the distance between the first electrode and the second electrode is 5.5 to 6.5 cm, and the second electrode is The fourth electrode has a pitch of 7 to 8 cm, and the fourth electrode and the sixth electrode The distance between the extension line of the first electrode and the second electrode and the extension line of the fourth electrode and the sixth electrode is 4.5 to 5.5 cm; the quarter of the at least one user is in accordance with the distance of 7 to 8 cm. In the fifth dimension step, the distance between the right arm electrode and the first electrode is 19.5 to 20.5 cm, the distance between the first electrode and the second electrode is 6.5 to 7.5 cm, and the second electrode and the fourth electrode The spacing between the electrodes is 8.5 to 9.5 cm, the distance between the fourth electrode and the sixth electrode is 8.5 to 9.5 cm, and the extension of the first electrode and the second electrode and the extension of the fourth electrode and the sixth electrode The line spacing is 5.5 to 6.5 cm; when the at least one user's quarter bust conforms to the sixth size step, the distance between the right arm electrode and the first electrode is 21.5 to 22.5 cm, and the first electrode and the first electrode The second electrode has a pitch of 7.5 to 8.5 cm, a distance between the second electrode and the fourth electrode is 9.5 to 10.5 cm, and a distance between the fourth electrode and the sixth electrode is 9.5 to 10.5 cm, the first electrode, An extension line of the second electrode and the fourth electrode and the sixth electrode The line spacing is 6.5 to 7.5 cm; when the at least one user's quarter bust conforms to the seventh size step, the distance between the right arm electrode and the first electrode is 23.5 to 24.5 cm, and the first electrode is The second electrode has a pitch of 8.5 to 9.5 cm, a distance between the second electrode and the fourth electrode is 10.5 to 11.5 cm, and a distance between the fourth electrode and the sixth electrode is 10.5 to 11.5 cm. The first electrode The extension line of the second electrode and the extension line of the fourth electrode and the sixth electrode are 7.5 to 8.5 cm apart; when the at least one user's quarter bust conforms to the eighth size step, the right arm The distance between the electrode and the first electrode is 25.5 to 26.5 cm, and the distance between the first electrode and the second electrode is 9.5 to 10.5 cm, and the second electrode is The fourth electrode has a pitch of 12 to 13 cm, a distance between the fourth electrode and the sixth electrode is 12 to 13 cm, an extension line of the first electrode and the second electrode, and the fourth electrode and the sixth The electrode has an extension line spacing of 8.5 to 9.5 cm. The method for measuring an electrocardiogram according to claim 8 , wherein the method further comprises: a left arm electrode, a right leg electrode, a left leg electrode, a third electrode, and a fifth electrode; wherein the third The electrode system is disposed between the second electrode and the fourth electrode, and the fifth electrode is disposed between the fourth electrode and the sixth electrode. The method for measuring an electrocardiogram according to claim 9, wherein the at least one characteristic comprises at least one user's age, sex, height, weight, height and weight ratio (BMI), upper limb length, and lower limb length At least one of the waist circumference and the nipple spacing. The method for measuring an electrocardiogram according to claim 1, wherein the at least one feature comprises two or more dimension steps, and the electrode calibration procedure comprises the following steps: a first step, checking the Whether at least one user corresponds to the size-level data of at least one feature exists in the history record, and if so, proceeds to a second step; if not, proceeds to a third step; the second step determines the use If at least one of the age, height and weight of the person is different from the previous one, if not, the previous record in the historical record is taken; if yes, the third step is entered; the third step Determining whether an application software can be measured, and if so, using a first method; if not, proceeding to a fourth step; the fourth step is determining whether a dedicated ruler can be measured, if a second method is used; if not, a third method is used; wherein the first method is to use a mobile device, first, at least one of fixing a lens and adding an infrared device, Automatically measuring a distance between the lens and the at least one user; and having the distance, photographing the shoulder of the at least one user, through an image processing, and the distance between the lens and the at least one user The actual shoulder width of the at least one user can be calculated by the triangle theorem; the second method is a special ruler pair Measuring the shoulder width of the at least one user to confirm that the shoulder width of the at least one user falls within one of the size intervals marked on the special ruler to find and mark the two The above-mentioned electrode calibration position; the third method described above measures the shoulder width of the at least one user by a general ruler, and compares and compares the aforementioned dimension steps to find and mark the two or more electrode calibration positions.