TWI708589B - System for predicting cardiovascular and brain function in combination with physiological detection device and method thereof - Google Patents

System for predicting cardiovascular and brain function in combination with physiological detection device and method thereof Download PDF

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TWI708589B
TWI708589B TW108128443A TW108128443A TWI708589B TW I708589 B TWI708589 B TW I708589B TW 108128443 A TW108128443 A TW 108128443A TW 108128443 A TW108128443 A TW 108128443A TW I708589 B TWI708589 B TW I708589B
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heart
delayed
mediastinum ratio
monitoring
stroke volume
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TW202106229A (en
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李銘忻
鄭凱鴻
羅世偉
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行政院原子能委員會核能研究所
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Abstract

A system and method for monitoring cardiovascular and brain functions in combination with a physiological detection device, which uses a smart wearable device to detect physiological data such as heart rate and pulse pressure of a user, and transmits the physiological data to an arithmetic function. An electronic device in which a preset function and a calculation formula are built in, and the physiological data can be converted into corresponding determination parameters to monitor the possibility and risk of cardiovascular diseases and neurodegenerative diseases.

Description

結合生理偵檢裝置監測心血管及腦部功能之系統和方法 System and method for monitoring cardiovascular and brain function combined with physiological detection device

本發明是有關結合生理偵檢裝置監測心血管及腦部功能之系統和方法,尤指一種利用智慧型穿戴裝置即時監控個人生理數據,並將該生理數據經由預設之函數及程式轉換成測定參數,藉以監測使用者罹患心血管疾病及神經退化疾病之可能性的系統和方法。 The present invention relates to a system and method for monitoring cardiovascular and brain functions combined with a physiological detection device, in particular to a smart wearable device for real-time monitoring of personal physiological data, and the physiological data is converted into a measurement through a preset function and program Parameters to monitor the user’s likelihood of suffering from cardiovascular diseases and neurodegenerative diseases.

目前常見的心血管檢查,包括:抽血、心電圖、超音波、核子醫學心肌灌注、電腦斷層掃描及心導管等。其中:抽血主要是測血糖跟膽固醇;心臟超音波主要觀察心臟結構跟運動狀態,但因為冠狀動脈很細小,有時很難準確測定是否有阻塞的情形;核子醫學心肌灌注雖然準確度(90%)較運動心電圖(70%)來得高,不過會有放射性及檢查時間較長的問題;電腦斷層掃描及心導管兩項進階的檢查則是因為無健保給付及屬於侵入性檢查之問題只有在疾病確診後的進階檢查才會使用。 At present, common cardiovascular examinations include: blood draw, electrocardiogram, ultrasound, nuclear medicine myocardial perfusion, computer tomography and cardiac catheterization. Among them: blood sampling is mainly to measure blood sugar and cholesterol; cardiac ultrasound mainly observes the heart structure and movement state, but because the coronary arteries are very small, it is sometimes difficult to accurately determine whether there is obstruction; although the accuracy of nuclear medicine myocardial perfusion (90 %) is higher than exercise electrocardiogram (70%), but there will be problems with radioactivity and longer examination time; the two advanced examinations of computed tomography and cardiac catheterization are because there is no health insurance payment and the only problems that are invasive examinations are It will only be used for advanced examinations after the disease is diagnosed.

核醫心臟造影目前被普遍應用於進行心血管疾病的監測,以監測心因性猝死及心衰竭預後評估;同時臨床研究中也發現,核醫心臟造影也可以 用於評估交感神經分布及功能,藉此早期區別部分神經退化性疾病(包括:帕金森氏症及路易氏體失智症)。此外,在文獻中,我們也可以觀察到臨床患者的生理數據中,心率(heart rate)、脈壓(pulse pressure)與心臟造影影像的心臟/縱膈比值(heart/mediastinum count ratio;H/M ratio)具有一定程度的關聯性,上述生理數據連接到核醫心臟造影影像計算出來的心臟/縱膈比值可以用來監測心因性猝死、心衰竭預後評估、帕金森氏症及路易氏體失智症等疾病。 Nuclear medicine cardiography is currently widely used in the monitoring of cardiovascular diseases to monitor sudden cardiac death and prognosis assessment of heart failure. At the same time, clinical studies have also found that nuclear medicine cardiography can also be used It is used to evaluate the distribution and function of sympathetic nerves to distinguish some neurodegenerative diseases (including Parkinson's disease and Lewy body dementia) at an early stage. In addition, in the literature, we can also observe that in the physiological data of clinical patients, the heart rate, pulse pressure, and the heart/mediastinum count ratio (H/M ratio) has a certain degree of relevance. The above physiological data is connected to the heart/mediastinum ratio calculated from nuclear medicine cardiography images, which can be used to monitor sudden cardiac death, prognosis assessment of heart failure, Parkinson’s disease and Lewy body loss. Mental illness and other diseases.

與核子醫學心肌灌注一樣,核醫心臟造影也有放射性及檢查時間長之問題;而且,雖然心臟造影結果能夠用來進行心血管疾病的監測、預後評估及區別部分神經退化性疾病,但要達成以上目的,影像數據的量化及標準化是非常重要的;在國外已成功建立影像數據量化及於不同設備之間的標準化,但在源頭核醫影像量化數據的圈選還是有可能受到負責影像判讀人員的不同而影響最後結果,同時藉由人工來將影像數據量化也需要花費更多時間。 Like nuclear medicine myocardial perfusion, nuclear medicine cardiography also has the problems of radioactivity and long examination time; moreover, although the results of cardiography can be used to monitor cardiovascular diseases, evaluate prognosis and distinguish certain neurodegenerative diseases, the above must be achieved. Purpose, the quantification and standardization of image data is very important; the quantification of image data and the standardization between different devices have been successfully established abroad, but the circle selection of the quantitative data of nuclear medical images at the source may still be subject to the person responsible for image interpretation The difference affects the final result, and it takes more time to quantify the image data manually.

但隨著科技的進步及穿戴式設備的蓬勃發展,現在只要透過像是apple watch、小米手環、ASUS VivoWatch BP、JSmax運動手環等智慧型穿戴裝置,就能隨時監測心率、心電圖、血壓及血氧等生理數據;因此,人體大數據收集比以往容易許多,結合現在人工智慧技術的進步,將來只要通過大量生理數據結合影像資料運算來建立更精準模型,未來即可直接透過穿戴式設備收集之生理數據準確監測罹患心臟及神經退化疾病的風險。 But with the advancement of technology and the vigorous development of wearable devices, as long as smart wearable devices such as apple watch, Xiaomi bracelet, ASUS VivoWatch BP, JSmax sports bracelet, etc., you can monitor heart rate, ECG, blood pressure and Physiological data such as blood oxygen; therefore, the collection of big data of the human body is much easier than in the past. Combined with the advancement of artificial intelligence technology, in the future, as long as a large amount of physiological data is combined with image data to calculate more accurate models, it can be collected directly through wearable devices in the future. The physiological data accurately monitors the risk of heart and neurodegenerative diseases.

在US 7,413,546B2專利案中,揭露了一種利用收集心血管資料,加以計算後的顯示,作為身體健康狀態監控的技術手段。而US 20170172423A1專利案中,則揭露了一種可以偵測生理數據的頸部傳感器之技術,但其並未將所取得之生理數據連結到核醫影像及疾病監測。 In the US 7,413,546B2 patent case, it is disclosed that a collection of cardiovascular data is used to calculate the display as a technical means of monitoring the health of the body. In the US 20170172423A1 patent, a technology of a neck sensor that can detect physiological data is disclosed, but it does not link the acquired physiological data to nuclear medicine imaging and disease monitoring.

有鑑於習見之心血管及腦部功能之檢測裝置及評估方式有上述缺點,發明人乃針對該些缺點研究改進之道,終於有本發明產生。 In view of the above-mentioned shortcomings of the conventional cardiovascular and brain function detection devices and evaluation methods, the inventors studied and improved ways to address these shortcomings, and finally came up with the present invention.

本發明之主要目的在於提供一種結合生理偵檢裝置監測心血管及腦部功能之系統,其係利用一穿戴式生理檢測裝置偵測個人的生理數據,並將該生理數據傳輸至一具運算功能之電子裝置,於該電子裝置中內建有預設函數式及計算式之應用程式,可將該生理數據轉換成測定參數,藉以監測罹患心血管疾病及神經退化疾病之可能性及風險,其相較於傳統的專業檢測儀器及分析方式,具有低投資成本、高經濟效益及具參考性的分析準確性。 The main purpose of the present invention is to provide a system for monitoring cardiovascular and brain functions combined with a physiological detection device, which uses a wearable physiological detection device to detect personal physiological data and transmit the physiological data to a computing function The electronic device has built-in application programs of preset functions and calculation formulas in the electronic device, which can convert the physiological data into measurement parameters to monitor the possibility and risk of cardiovascular disease and neurodegenerative disease. Compared with traditional professional testing instruments and analysis methods, it has low investment cost, high economic efficiency and reference analysis accuracy.

本發明之另一目的在於提供一種結合生理偵檢裝置監測心血管及腦部功能之系統,其於檢測的過程中,可完全避免放射性物質對身體的傷害,亦無需專業的影像判讀知識,因此不但使用上極為安全、簡便;且其未來透過大數據資料的累積,可增加研判準確度,將可能取代部分現行之生理檢查項目。 Another object of the present invention is to provide a system for monitoring cardiovascular and brain functions combined with a physiological detection device, which can completely avoid radioactive material damage to the body during the detection process, and does not require professional image interpretation knowledge. Not only is it extremely safe and easy to use, but in the future, the accumulation of big data can increase the accuracy of research and judgment, which may replace some of the current physiological examination items.

本發明之又一目的在於提供一種結合生理偵檢裝置監測心血管及腦部功能之方法,其主要係收集使用者之心率(heart rate)及脈壓(pulse pressure)等生理數據,並經由預設的函數關係式轉換成清除率數值,再經由預設的函數關係式轉換成心搏量指數數值,將該心搏量指數數值經由預設的函數關係式轉換成早期或延遲心臟/縱膈比值,將該早期或延遲心臟/縱膈比值套入心臟疾病監測圖,可藉以監測心臟疾病風險,將該早期或延遲心臟/縱膈比值套入神經退化疾病監測圖,即可監測是否罹患神經退化疾病,而將該早期或延遲心臟/縱膈比值套入神經退化疾病腦部影像圖,即可監測腦部退化的風險。 Another object of the present invention is to provide a method for monitoring cardiovascular and brain functions in conjunction with a physiological detection device, which mainly collects physiological data such as heart rate and pulse pressure of the user, and pre-empts The set function relationship is converted into a clearance rate value, and then converted into a stroke volume index value through a preset function relationship, and the stroke volume index value is converted into an early or delayed heart/mediastinum through a preset function relationship The early or delayed heart/mediastinum ratio can be inserted into the heart disease monitoring chart to monitor the risk of heart disease. The early or delayed heart/mediastinum ratio can be inserted into the neurodegenerative disease monitoring chart to monitor whether there is neurological disease. Degenerative diseases, and the early or delayed heart/mediastinum ratio is inserted into the neurodegenerative disease brain imaging map to monitor the risk of brain degeneration.

為使本發明的上述目的、功效及特徵可獲致更具體的瞭解,茲依下列附圖說明如下: In order to obtain a more detailed understanding of the above-mentioned purposes, effects and features of the present invention, the following descriptions are given with reference to the following drawings:

1:穿戴式生理檢測裝置 1: Wearable physiological detection device

11:主機 11: host

111:微處理單元 111: Micro Processing Unit

112:記憶單元 112: memory unit

113:感知訊號接收模組 113: Sensing signal receiving module

114:通訊控制模組 114: Communication control module

115:應用韌體 115: application firmware

116:資料儲存單元 116: data storage unit

117:切換操作模組 117: Switch operation module

12:外部感知元件 12: External sensing components

2:電子裝置 2: electronic device

21:中央處理單元 21: Central Processing Unit

22:記憶模組 22: Memory module

23:通訊模組 23: Communication module

24:應用程式 24: Application

25:資料庫 25: Database

26:操作模組 26: Operation module

27:顯示模組 27: display module

S11:接收心率及脈壓等生理數據 S11: Receive physiological data such as heart rate and pulse pressure

S12:利用心率或脈壓數據計算清除率數值 S12: Use heart rate or pulse pressure data to calculate the clearance rate value

S13:利用清除率數值計算心搏量指數數值 S13: Use the clearance rate value to calculate the stroke volume index value

S14:利用心搏量指數數值計算早期心臟/縱膈比值或延遲心臟/縱膈比值 S14: Use the stroke volume index value to calculate the early heart/mediastinum ratio or the delayed heart/mediastinum ratio

S15:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測心臟疾病風險 S15: Use the early heart/mediastinum ratio or the delayed heart/mediastinum ratio to monitor the risk of heart disease

S16:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測是否罹患神經退化疾病 S16: Use the early heart/mediastinum ratio or the delayed heart/mediastinum ratio to monitor for neurodegenerative diseases

S17:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測腦部影像 S17: Monitor brain images based on the early heart/mediastinum ratio or delayed heart/mediastinum ratio

第1圖係本發明之穿戴式生理檢測裝置之一可行結構方塊圖。 Figure 1 is a block diagram of a feasible structure of the wearable physiological detection device of the present invention.

第2圖係本發明之電子裝置之可行結構方塊圖。 Figure 2 is a block diagram of a feasible structure of the electronic device of the present invention.

第3圖係本發明之清除速率與脈壓關係函數圖。 Figure 3 is a function diagram of the relationship between the clearance rate and the pulse pressure of the present invention.

第4圖係本發明之清除速率與心率關係函數圖。 Figure 4 is a graph of the relationship between clearance rate and heart rate of the present invention.

第5圖係本發明之清除速率與心搏量指數關係函數圖。 Figure 5 is a graph showing the relationship between clearance rate and stroke volume index of the present invention.

第6圖係本發明之早期心臟/縱膈比值與心搏量指數關係函數圖。 Figure 6 is a graph showing the relationship between the early heart/mediastinum ratio and the stroke volume index of the present invention.

第7圖係本發明之延遲心臟/縱膈比值與心搏量指數關係函數圖。 Figure 7 is a graph showing the relationship between the delayed heart/mediastinum ratio and the stroke volume index of the present invention.

第8圖係本發明之電子裝置執行監測心血管及腦部功能之方法的流程圖。 Figure 8 is a flow chart of the method for monitoring cardiovascular and brain functions performed by the electronic device of the present invention.

第9圖係本發明之心臟疾病監測圖(一)。 Figure 9 is the heart disease monitoring diagram of the present invention (1).

第10圖係本發明之心臟疾病監測圖(二)。 Figure 10 is the heart disease monitoring diagram of the present invention (2).

第11圖係本發明之神經退化疾病監測圖。 Figure 11 is the neurodegenerative disease monitoring diagram of the present invention.

第12圖係本發明之正常人及神經退化疾病患者各種腦部檢測影像圖。 Figure 12 is an image of various brain detections of normal people and patients with neurodegenerative diseases of the present invention.

第13圖係本發明利用脈壓數值經由該清除速率與脈壓關係函數獲得清除速率數值之示意圖。 Figure 13 is a schematic diagram of the present invention using the pulse pressure value to obtain the clearance rate value through the clearance rate and the pulse pressure relationship function.

第14圖係本發明利用心率數值經由該清除速率與心率關係函數獲得清除速率數值之示意圖。 Figure 14 is a schematic diagram of the present invention using the heart rate value to obtain the clearance rate value through the clearance rate and the heart rate relationship function.

第15圖係本發明利用清除速率數值經由該清除速率與心搏量指數關係函數獲得心搏量指數數值之示意圖。 Figure 15 is a schematic diagram of the present invention using the clearance rate value to obtain the stroke volume index value through the clearance rate and the stroke volume index relationship function.

第16圖係本發明利用心搏量指數數值經由該早期心臟/縱膈比值與心搏量指數關係函數獲得早期心臟/縱膈比值數值之示意圖。 Figure 16 is a schematic diagram of the present invention using the stroke volume index value to obtain the early heart/mediastinum ratio value through the relationship function of the early heart/mediastinum ratio and the stroke volume index.

第17圖係本發明利用心搏量指數數值經由該延遲心臟/縱膈比值與心搏量指數關係函數獲得延遲心臟/縱膈比值數值之示意圖。 Figure 17 is a schematic diagram of the present invention using the stroke volume index value to obtain the delayed heart/mediastinum ratio value through the relationship function of the delayed heart/mediastinum ratio and the stroke volume index.

請參第1、2圖所示,可知本發明之主要結構包括:穿戴式生理檢測裝置1及電子裝置2等部份;其中該穿戴式生理檢測裝置1具有一主機11及複數外部感知元件12,該主機11內部設有一微處理單元111、一記憶單元112、一感知訊號接收模組113、一通訊控制模組114及一切換操作模組117,該外部感知元件12係穿戴於人體上頭部、頸部、手腕、手臂、腳或其它人體動脈流經之部位,並經由光學感測、電訊號量測或壓力感測等方式偵測人體之生理狀態,並產生相對應之感應訊號,由該感知訊號接收模組113接收該感應訊號,並轉換成各項生理數據後,再傳送至該微處理單元111,該記憶單元112中除了儲存有該穿戴式生理檢測裝置1整體運作所需之應用韌體115外,另規劃有一能儲存該等生理數據之資料儲存單元116,該微處理單元111於執行該應用韌體115後,能控制該通訊控制模組114對已配對之外部電子裝置2傳輸該等生理數據。 Please refer to Figures 1 and 2, it can be seen that the main structure of the present invention includes: a wearable physiological detection device 1 and an electronic device 2; wherein the wearable physiological detection device 1 has a host 11 and a plurality of external sensing elements 12 The host 11 is provided with a micro-processing unit 111, a memory unit 112, a sensing signal receiving module 113, a communication control module 114, and a switching operation module 117. The external sensing element 12 is worn on the human body It detects the physiological state of the human body through optical sensing, electrical signal measurement or pressure sensing, and generates corresponding sensing signals. The sensing signal is received by the sensing signal receiving module 113, converted into various physiological data, and then sent to the micro-processing unit 111. The memory unit 112 stores in addition to the storage required for the overall operation of the wearable physiological detection device 1 In addition to the application firmware 115, a data storage unit 116 that can store the physiological data is also planned. After the micro-processing unit 111 executes the application firmware 115, it can control the communication control module 114 to paired external electronics The device 2 transmits the physiological data.

該電子裝置2可為個人電腦、筆記型電腦、平板電腦、行動電話或其它具有計算功能之裝置,其具有一中央處理單元21、一記憶模組22、一通訊模組23、一操作模組26及一顯示模組27,該通訊模組23係能經由有線或無線方式與前述通訊控制模組114形成配對,以供接收該等生理數據,並傳送至該中央處理單元21,該記憶模組22中除儲存有一應用程式 (APP)24外,並設有一儲存各種資料之資料庫25,於該應用程式24中具有各種計算推導之函數式,該操作模組26係可執行對該中央處理單元21各項控制動作;該顯示模組27係可顯示各操作過程及計算分析結果之顯示模組27,當該中央處理單元21執行該應用程式24後,能將上述各項生理數據經由各該函數式進行計算與推導,以產生對於心血管及腦部功能檢查之分析預判結果。 The electronic device 2 can be a personal computer, a notebook computer, a tablet computer, a mobile phone or other devices with computing functions. It has a central processing unit 21, a memory module 22, a communication module 23, and an operation module. 26 and a display module 27. The communication module 23 can be paired with the aforementioned communication control module 114 via wired or wireless means for receiving the physiological data and sending it to the central processing unit 21. The memory module In addition to storing one application in group 22 In addition to (APP) 24, there is a database 25 storing various data. The application program 24 has various calculation and derived functional formulas. The operation module 26 can perform various control actions on the central processing unit 21; The display module 27 is a display module 27 that can display various operation processes and calculation and analysis results. When the central processing unit 21 executes the application program 24, it can calculate and derive the above-mentioned physiological data through each function formula. , In order to produce the analysis and prediction results of cardiovascular and brain function tests.

請參第3至7圖所示,可知本發明之應用程式24中具有以下各種函數式: Please refer to Figures 3 to 7, it can be seen that the application 24 of the present invention has the following functional formulas:

1.清除速率與脈壓關係函數:y=-0.6094x+63.325;R2=0.3284;ρ<0.05其中:y:清除速率(WR);x:脈壓(PP);R2:決定係數(當R2愈接近1,表示利用x來解釋y的能力愈強);ρ:統計差異值(ρ<0.05表示有顯著差異,ρ<0.01表示有很顯著差異,ρ<0.001表示有非常顯著差異) 1. Relation function of clearance rate and pulse pressure: y=-0.6094x+63.325; R 2 =0.3284; ρ<0.05 where: y: clearance rate (WR); x: pulse pressure (PP); R 2 : coefficient of determination ( When R 2 is closer to 1, it means that the ability to use x to explain y is stronger); ρ : statistical difference value ( ρ <0.05 indicates a significant difference, ρ <0.01 indicates a significant difference, ρ <0.001 indicates a very significant difference )

2.清除速率與心率關係函數:y=0.2459x+12.111;R2=0.4008;ρ<0.01其中:y:清除速率(WR);x:心率(HR);R2:決定係數(當R2愈接近1,表示利用x來解釋y的能力愈強);ρ:統計差異值(ρ<0.05表示有顯著差異,ρ<0.01表示有很顯著差異,ρ<0.001表示有非常顯著差異) 2. Relation function between clearance rate and heart rate: y=0.2459x+12.111; R 2 =0.4008; ρ<0.01 where: y: clearance rate (WR); x: heart rate (HR); R 2 : coefficient of determination (when R 2 The closer to 1, the stronger the ability to use x to explain y); ρ : statistical difference value ( ρ <0.05 indicates a significant difference, ρ <0.01 indicates a very significant difference, ρ <0.001 indicates a very significant difference)

3.清除速率與心搏量指數關係函數:y=-0.7978x+70.826;R2=0.3578;ρ<0.05其中:y:心搏量指數(SVI);x:清除速率(WR);R2:決定係數(當R2愈接近1,表示利用x來解釋y的能力愈強);ρ:統計差異值(ρ<0.05表示有顯著差異,ρ<0.01表示有很顯著差異,ρ<0.001表示有非常顯著差異) 3. Relation function between clearance rate and stroke volume index: y=-0.7978x+70.826; R 2 =0.3578; ρ<0.05 where: y: stroke volume index (SVI); x: clearance rate (WR); R 2 : Coefficient of determination (when R 2 is closer to 1, it means that the ability to use x to explain y is stronger); ρ : statistical difference value ( ρ <0.05 indicates a significant difference, ρ <0.01 indicates a significant difference, ρ <0.001 indicates There is a very significant difference)

4.早期心臟/縱膈比值與心搏量指數關係函數: y=0.0162x+1.3379;R2=0.4412;ρ<0.01其中:y:早期心臟/縱膈比值(early H/M);x:心搏量指數(SVI);R2:決定係數(當R2愈接近1,表示利用x來解釋y的能力愈強);ρ:統計差異值(ρ<0.05表示有顯著差異,ρ<0.01表示有很顯著差異,ρ<0.001表示有非常顯著差異) 4. The relation function between the early heart/mediastinum ratio and the stroke volume index: y=0.0162x+1.3379; R 2 =0.4412; ρ<0.01 where: y: early heart/mediastinum ratio (early H/M); x: Stroke Volume Index (SVI); R 2 : coefficient of determination (the closer R 2 is to 1, the stronger the ability to use x to explain y); ρ : statistical difference value ( ρ <0.05 indicates a significant difference, ρ <0.01 Means a very significant difference, ρ <0.001 means a very significant difference)

5.延遲心臟/縱膈比值與心搏量指數關係函數:y=0.0161x+1.0938;R2=0.3897;ρ<0.05其中:y:延遲心臟/縱膈比值(delayed H/M);x:心搏量指數(SVI);R2:決定係數(當R2愈接近1,表示利用x來解釋y的能力愈強);ρ:統計差異值(ρ<0.05表示有顯著差異,ρ<0.01表示有很顯著差異,ρ<0.001表示有非常顯著差異) 5. The relationship function between delayed heart/mediastinum ratio and stroke volume index: y=0.0161x+1.0938; R 2 =0.3897; ρ<0.05 where: y: delayed heart/mediastinum ratio (delayed H/M); x: Stroke Volume Index (SVI); R 2 : coefficient of determination (the closer R 2 is to 1, the stronger the ability to use x to explain y); ρ : statistical difference value ( ρ <0.05 indicates a significant difference, ρ <0.01 Means a very significant difference, ρ <0.001 means a very significant difference)

請參第8圖所示,可知本發明為達成監測心血管及腦部功能之功效,在實際應用時,該應用程式24會依序執行:一「接收心率及脈壓等生理數據」步驟、一「利用心率或脈壓數據計算清除率數值」步驟、一「利用清除率數值計算心搏量指數數值」步驟、一「利用心搏量指數數值計算早期心臟/縱膈比值或延遲心臟/縱膈比值」步驟、一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測心臟疾病風險」步驟、一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測是否罹患神經退化疾病」步驟及一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測腦部影像」步驟;以下僅參照第1、2圖之結構分別作一說明:首先,該「接收心率及脈壓等生理數據」步驟,係由該電子裝置2接收該穿戴式生理檢測裝置1傳輸之心率及脈壓等人體生理數據。 Please refer to Figure 8, which shows that the present invention achieves the effect of monitoring cardiovascular and brain functions. In actual application, the application 24 will execute in order: a step of "receiving physiological data such as heart rate and pulse pressure", A step of ``Calculate the clearance rate value using heart rate or pulse pressure data'', a step of ``Calculate the stroke volume index value using the clearance rate value'', and a step of ``Using the stroke volume index value to calculate the early heart/mediastinum ratio or delayed heart/longitudinal The step of “diaphragm ratio”, a step of “monitoring the risk of heart disease by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio”, and the step of “monitoring the risk of heart disease by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio” The steps of suffering from neurodegenerative diseases" and a step of "monitoring brain images by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio"; the following are only explained with reference to the structures in Figures 1 and 2: First, the In the step of "receiving physiological data such as heart rate and pulse pressure", the electronic device 2 receives human physiological data such as heart rate and pulse pressure transmitted by the wearable physiological detection device 1.

該「利用心率或脈壓數據計算清除率數值」步驟,係將上述心率數值經由一清除速率與心率關係函數式(如第4圖所示)計算出一清除率數值;將上述脈壓數值經由一清除速率與脈壓關係函數式(如第3圖所示)計算出該清除率數值。 The step of "calculating the clearance rate value using heart rate or pulse pressure data" is to calculate a clearance rate value through a clearance rate and heart rate relationship function (as shown in Figure 4) from the above heart rate value; A clearance rate and pulse pressure relationship function formula (as shown in Figure 3) calculates the clearance rate value.

該「利用清除率數值計算心搏量指數數值」步驟,將上述清除率數值經由一清除速率與心搏量指數關係函數式(如第5圖所示)計算出一心搏量指數數值。 In the "calculating stroke volume index value using the clearance rate value" step, a stroke volume index value is calculated from the clearance rate value through a clearance rate and stroke volume index function formula (as shown in Figure 5).

該「利用心搏量指數數值計算早期心臟/縱膈比值或延遲心臟/縱膈比值」步驟,將上述心搏量指數數值經由一早期心臟/縱膈比值與心搏量指數關係式(如第6圖所示)計算出一早期心臟/縱膈比值;將該心搏量指數數值藉由一延遲心臟/縱膈比值與心搏量指數關係函數式(如第7圖所示)計算出一早期延遲心臟/縱膈比值或延遲心臟/縱膈比值。 The step of "Using the stroke volume index value to calculate the early heart/mediastinum ratio or the delayed heart/mediastinum ratio" step is to pass the above stroke volume index value through an early heart/mediastinum ratio and the stroke volume index relationship (such as the first Figure 6) Calculate an early heart/mediastinum ratio; the stroke volume index value is calculated by a function of the delayed heart/mediastinum ratio and the stroke volume index (as shown in Figure 7) Early delayed heart/mediastinum ratio or delayed heart/mediastinum ratio.

該「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測心臟疾病風險」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入心臟疾病監測圖(如第9、10圖所示)中,以比對監測罹患心臟疾病之風險。 The step of "monitoring the risk of heart disease by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio" is to insert the early heart/mediastinum ratio or the delayed heart/mediastinum ratio into the heart disease monitoring chart (such as In Figures 9 and 10), the risk of heart disease is monitored by comparison.

該「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測是否罹患神經退化疾病」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入神經退化疾病監測圖(如第11圖所示)中,以比對監測罹患神經退化疾病之風險。 The "use the early heart/mediastinum ratio or the delayed heart/mediastinum ratio to monitor whether there is a neurodegenerative disease" step, the early heart/mediastinum ratio or the delayed heart/mediastinum ratio are respectively included in the neurodegenerative disease monitoring In the figure (shown in Figure 11), the risk of neurodegenerative diseases is monitored by comparison.

該「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測腦部影像」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入一正常人及神經退化疾病患者各種腦部檢測影像圖(如第12圖所示)中,以比對監測腦部退化之風險。 The step of "monitoring brain images by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio" step is to insert the early heart/mediastinum ratio or the delayed heart/mediastinum ratio into a normal person and neurodegeneration, respectively Various brain detection images of patients with diseases (as shown in Figure 12) are used to compare and monitor the risk of brain degeneration.

【實施方式一】 [Implementation Mode One]

當該電子裝置2接收到該穿戴式生理檢測裝置1所傳輸之脈壓為70mmHg。 When the electronic device 2 receives the pulse pressure transmitted by the wearable physiological detection device 1 is 70 mmHg.

如第13圖所示,由脈壓(PP)為70mmHg的(橫軸)位置,劃一垂直線交於該清除速率與脈壓關係曲線上,由該交點再劃一水平線至清除速率(WR)軸(縱軸)處,紀錄此點之清除速率為WRi=20.667%。 As shown in Figure 13, from the position of the pulse pressure (PP) of 70mmHg (horizontal axis), draw a vertical line to intersect the clearance rate and pulse pressure relationship curve, and then draw a horizontal line from the intersection point to the clearance rate (WR) axis (Vertical axis), record the removal rate at this point as WRi=20.667%.

如第15圖所示,由清除速率(WR)為WRi=20.667%的(橫軸)位置,劃一垂直線交於該清除速率與心搏量指數關係曲線上,由該交點再劃一水平線至心搏量指數(SVI)軸(縱軸)處,紀錄此點之心搏量指數為SVIi=54.34ml‧beat-1‧m-2As shown in Figure 15, from the position where the clearance rate (WR) is WRi=20.667% (horizontal axis), draw a vertical line to cross the clearance rate and stroke volume index curve, and then draw a horizontal line from the intersection to the heart At the stroke volume index (SVI) axis (vertical axis), record the stroke volume index at this point as SVIi=54.34ml‧beat -1 ‧m -2 .

如第16圖所示,由心搏量指數為SVIi=54.34ml‧beat-1‧m-2的(橫軸)位置,劃一垂直線交於該早期心臟/縱膈比值關係曲線上,由該交點再劃一水平線至早期心臟/縱膈比值(縱軸)處,紀錄此點之早期心臟/縱膈比值為early H/Mi=2.22;如第17圖所示,由心搏量指數為SVIi=54.34ml‧beat-1‧m-2的(橫軸)位置,劃一垂直線交於該延遲心臟/縱膈比值關係曲線上,由該交點再劃一水平線至延遲心臟/縱膈比值(縱軸)處,紀錄此點之延遲心臟/縱膈比值為delayed H/Mi=1.97。 As shown in Figure 16, from the (horizontal axis) position where the stroke volume index is SVIi=54.34ml‧beat -1 ‧m -2 , draw a vertical line to intersect the early heart/mediastinum ratio relationship curve. Draw a horizontal line at the intersection point to the early heart/mediastinum ratio (vertical axis), and record the early heart/mediastinum ratio at this point as early H/Mi=2.22; as shown in Figure 17, the stroke volume index is SVIi= 54.34ml‧beat -1 ‧m -2 (horizontal axis), draw a vertical line to intersect the delayed heart/mediastinum ratio relationship curve, and then draw a horizontal line from the intersection point to the delayed heart/mediastinum ratio (vertical axis) At this point, record the delayed heart/mediastinum ratio as delayed H/Mi=1.97.

如第9圖所示,將delayed H/Mi=1.97代入,可監測心臟病死亡機率約1%、死亡機率約2%,以及兩年的事件發生率約為15%。 As shown in Figure 9, substituting delayed H/Mi=1.97, it is possible to monitor the heart disease death rate of about 1%, the death rate of about 2%, and the two-year event rate of about 15%.

如第10圖所示,將年齡及delayed H/Mi=1.97代入,可監測五年時心臟病死亡風險約為5%。 As shown in Figure 10, substituting age and delayed H/Mi=1.97, the risk of death from heart disease at five years can be monitored at approximately 5%.

如第11圖所示,將delayed H/Mi=1.97代入,可監測並無罹患帕金森氏症、失智症、路易氏體失智症及單純性自主神經衰竭。 As shown in Figure 11, by substituting delayed H/Mi=1.97, it is possible to monitor the absence of Parkinson's disease, dementia, Lewy body dementia, and simple autonomic failure.

如第12圖所示,將delaved H/Mi=1.97代入,即可監測使用123I-IBZM或123I-FP-CIT或123I-Ioflupane或99mTc-TRODAT或11C-RTI 32或11C-DTBZ或18F-DOPA或18F-FP-CIT所獲得之腦部核醫影像,其紋狀體的多巴胺表現量較帕金森氏症患者高(第12圖中箭頭所指位置)。 As shown in Figure 12, substitute the delaved H/Mi=1.97 to monitor and use 123I-IBZM or 123I-FP-CIT or 123I-Ioflupane or 99mTc-TRODAT or 11C-RTI 32 or 11C-DTBZ or 18F-DOPA Or the nuclear medical imaging of the brain obtained by 18F-FP-CIT, the striatum has a higher level of dopamine than those with Parkinson's disease (the position indicated by the arrow in Figure 12).

如第12圖所示,將delayed H/Mi=1.97代入,即可監測其中腦切片影像,會含有較多巴胺神經元(第14圖中postmorterm箭頭所指位置有健康黑色)。 As shown in Figure 12, substituting delayed H/Mi=1.97, you can monitor the brain slice image, which will contain more paminergic neurons (the position indicated by the postmorterm arrow in Figure 14 is healthy black).

如第12圖所示將delayed H/Mi=1.97代入,即可監測eZIS影像在雙側基底神經節、丘腦、小腦齒狀核中局部的腦血流量並無偏高情況。 Substituting delayed H/Mi=1.97 as shown in Figure 12, you can monitor that the local cerebral blood flow in the bilateral basal ganglia, thalamus, and cerebellar dentate nucleus in the eZIS image is not high.

如第12圖所示,將delayed H/Mi=1.97代入,即可監測其fMRI影像,影像在右下顳(Right inferior temporal)、中顳(middle temporal)、梭形副海馬迴旋曲(fusiform parahippocampal gyri)、右下頂葉回(Right inferior parietal gyrus)、橋腦、中腦、右眶額皮質聚集的情況會比帕金森氏症患者低(圖16 fMRI A-D),在左/右楔狀葉皮質(Left/Right cuneus cortices)、左/右運動輔助區(Left/Right supplementary motor areas)、左殼核(Left putamen)、左楔狀葉皮質(Left cuneus cortex)、左下頂葉回(Left inferior parietal gyrus)、左側前運動皮質(Left lateral premotor cortex)聚集的情況會比帕金森氏症患者高(第12圖中fMRI E-J)。 As shown in Figure 12, substituting delayed H/Mi=1.97, the fMRI images can be monitored. The images are in the right inferior temporal, middle temporal, fusiform parahippocampal gyri ), Right inferior parietal gyrus (Right inferior parietal gyrus), pons, midbrain, and right orbital frontal cortex aggregation is lower than that of patients with Parkinson's disease (Figure 16 fMRI AD), in the left/right cuneiform cortex (Left/Right cuneus cortices), Left/Right supplementary motor areas (Left/Right supplementary motor areas), Left putamen, Left cuneus cortex, Left inferior parietal gyrus), the left lateral premotor cortex (Left lateral premotor cortex) accumulation is higher than that of Parkinson's disease patients (fMRI EJ in Figure 12).

【實施方式二】 [Embodiment 2]

當該電子裝置2接收到該穿戴式生理檢測裝置1所傳輸之心率為150下/分鐘。 When the electronic device 2 receives the heart rate transmitted by the wearable physiological detection device 1 is 150 beats per minute.

如第14圖所示,由心率(HR)為150/M的(橫軸)位置,劃一垂直線交於該清除速率與心率關係曲線上,由該交點再劃一水平線至清除速率(WR)軸(縱軸)處,紀錄此點之清除速率為WRii=48.996%。 As shown in Figure 14, from the position of the heart rate (HR) of 150/M (horizontal axis), draw a vertical line to cross the clearance rate and heart rate curve, and then draw a horizontal line from the intersection to the clearance rate (WR) axis (Vertical axis), record the removal rate at this point as WRii=48.996%.

如第15圖所示,由清除速率(WR)為WRii=48.996%的(橫軸)位置,劃一垂直線交於該清除速率與心搏量指數關係曲線上,由該交點再劃一水平線至心搏量指數(SVI)軸(縱軸)處,紀錄此點之心搏量指數為SVIii=31.737ml‧beat-1‧m-2As shown in Figure 15, from the position where the clearance rate (WR) is WRii=48.996% (horizontal axis), draw a vertical line to cross the clearance rate and stroke volume index curve, and then draw a horizontal line from the intersection to the heart At the stroke volume index (SVI) axis (vertical axis), record the stroke volume index at this point as SVIii=31.737ml‧beat -1 ‧m -2 .

如第16圖所示,由心搏量指數為SVIii=31.737ml‧beat-1‧m-2的(橫軸)位置,劃一垂直線交於該早期心臟/縱膈比值關係曲線上,由該交點再劃一水平線至早期心臟/縱膈比值(縱軸)處,紀錄此點之早期心臟/縱膈比值為early H/Mi=1.85;如第17圖所示,由心搏量指數為SVIii=31.737ml‧beat-1‧m-2的(橫軸)位置,劃一垂直線交於該延遲心臟/縱膈比值關係曲線上,由該交點再劃一水平線至延遲心臟/縱膈比值(縱軸)處,紀錄此點之延遲心臟/縱膈比值為delayed H/Mi=1.60。 As shown in Figure 16, from the (horizontal axis) position where the stroke volume index is SVIii=31.737ml‧beat -1 ‧m -2 , draw a vertical line to intersect the early heart/mediastinum ratio relationship curve. Draw a horizontal line at the intersection point to the early heart/mediastinum ratio (vertical axis), and record the early heart/mediastinum ratio at this point as early H/Mi=1.85; as shown in Figure 17, the stroke volume index is SVIii= 31.737ml‧beat -1 ‧m -2 (horizontal axis), draw a vertical line to intersect the delayed heart/mediastinum ratio curve, and then draw a horizontal line from the intersection point to the delayed heart/mediastinum ratio (vertical axis) At this point, record the delayed heart/mediastinum ratio as delayed H/Mi=1.60.

如第9圖所示,將delayed H/Mi=1.60代入,可監測心臟病死亡機率約6.7%、死亡機率約10.1%,以及兩年的事件發生率約為37%。 As shown in Figure 9, substituting delayed H/Mi=1.60, it is possible to monitor the heart disease death rate of about 6.7%, the death rate of 10.1%, and the two-year event rate of about 37%.

如第10圖所示,將年齡及delayed H/Mi=1.60代入,即可監測年齡

Figure 108128443-A0305-02-0013-20
65歲時,五年時心臟病死亡風險約為20%,年齡<65歲時,五年時心臟病死亡風險約為11%。 As shown in Figure 10, insert age and delayed H/Mi=1.60 to monitor age
Figure 108128443-A0305-02-0013-20
At the age of 65, the risk of death from heart disease at five years is approximately 20%, and at the age of <65, the risk of death from heart disease at five years is approximately 11%.

如第11圖所示,將delayed H/Mi=1.60代入,即可監測有罹患帕金森氏症、失智症、路易氏體失智症及單純性自主神經衰竭之風險。 As shown in Figure 11, by substituting delayed H/Mi=1.60, the risk of Parkinson's disease, dementia, Lewy body dementia, and simple autonomic failure can be monitored.

如第12圖所示,將delayed H/Mi=1.60代入,即可監測使用123I-IBZM或123I-FP-CIT或123I-Ioflupane或99mTc-TRODAT或11C-RTI 32或11C-DTBZ或18F-DOPA或18F-FP-CIT所獲得之腦部核醫影像,其紋狀體的多巴胺表現量較正常人低(第12圖中箭頭所指位置)。 As shown in Figure 12, substituting delayed H/Mi=1.60, you can use 123I-IBZM or 123I-FP-CIT or 123I-Ioflupane or 99mTc-TRODAT or 11C-RTI 32 or 11C-DTBZ or 18F-DOPA Or the nuclear medicine image of the brain obtained by 18F-FP-CIT, the dopamine expression in the striatum is lower than that of normal people (the position indicated by the arrow in Figure 12).

如第12圖所示,將delayed H/Mi=1.60代入,即可監測其中腦切片影像,會含有較少巴胺神經元(第14圖中postmorterm)。 As shown in Figure 12, by substituting delayed H/Mi=1.60, the brain slice image can be monitored, which will contain fewer paminergic neurons (postmorterm in Figure 14).

如第12圖所示將delayed H/Mi=1.60代入,即可監測eZIS影像在雙側基底神經節、丘腦、小腦齒狀核中局部的腦血流量會有偏高情況。 As shown in Figure 12, substituting delayed H/Mi=1.60, you can monitor the local cerebral blood flow in the bilateral basal ganglia, thalamus, and cerebellar dentate nucleus in eZIS images.

如第12圖所示,將delayed H/Mi=1.60代入,即可監測其fMRI影像,影像在右下顳Right inferior temporal、中顳middle temporal、梭形副海馬迴旋 曲fusiform parahippocampal gyri、右下頂葉回Right inferior parietal gyrus、橋腦、中腦、右眶額皮質聚集的情況會比高於正常人(第13圖16 fMRI A-D),在左/右楔狀葉皮質Left/Right cuneus cortices、左/右運動輔助區Left/Right supplementary motor areas、左殼核Left putamen、左楔狀葉皮質Left cuneus cortex、左下頂葉回Left inferior parietal gyrus、左側前運動皮質Left lateral premotor cortex聚集的情況會比低於正常人(第12圖16 fMRI E-J)。 As shown in Figure 12, substituting delayed H/Mi=1.60, the fMRI image can be monitored. The image is in Right inferior temporal, middle temporal, and fusiform parahippocampal gyration Curve fusiform parahippocampal gyri, Right inferior parietal gyrus, pontine, midbrain, and right orbital frontal cortex aggregation will be higher than normal people (Figure 13 16 fMRI AD), in the left/right cuneiform lobe Left/Right cuneus cortices, Left/Right supplementary motor areas, Left putamen, Left cuneus cortex, Left inferior parietal gyrus, Left lateral The aggregation of premotor cortex will be lower than that of normal people (Figure 12, 16 fMRI EJ).

綜合以上所述,本發明結合生理偵檢裝置監測心血管及腦部功能之系統和方法確可達成低投資成本、易於分析測定且具較佳的分析準確性等特點,實為一具新穎性及進步性之發明,爰依法提出申請發明專利;惟上述說明之內容,僅為本發明之較佳實施例說明,舉凡依本發明之技術手段與範疇所延伸之變化、修飾、改變或等效置換者,亦皆應落入本發明之專利申請範圍內。 In summary, the system and method for monitoring cardiovascular and brain functions of the present invention combined with a physiological detection device can indeed achieve low investment costs, easy analysis and determination, and better analysis accuracy. It is indeed a novelty. For advanced inventions, I filed for invention patents in accordance with the law; however, the content of the above description is only a description of the preferred embodiments of the present invention, including all changes, modifications, changes or equivalents extended by the technical means and scope of the present invention Any replacement should also fall within the scope of the patent application of the present invention.

S11:接收心率及脈壓等生理數據 S11: Receive physiological data such as heart rate and pulse pressure

S12:利用心率或脈壓數據計算清除率數值 S12: Use heart rate or pulse pressure data to calculate the clearance rate value

S13:利用清除率數值計算心搏量指數數值 S13: Use the clearance rate value to calculate the stroke volume index value

S14:利用心搏量指數數值計算早期心臟/縱膈比值或延遲心臟/縱膈比值 S14: Use the stroke volume index value to calculate the early heart/mediastinum ratio or the delayed heart/mediastinum ratio

S15:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測心臟疾病風險 S15: Use the early heart/mediastinum ratio or the delayed heart/mediastinum ratio to monitor the risk of heart disease

S16:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測是否罹患神經退化疾病 S16: Use the early heart/mediastinum ratio or the delayed heart/mediastinum ratio to monitor for neurodegenerative diseases

S17:藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測腦部影像 S17: Monitor brain images based on the early heart/mediastinum ratio or delayed heart/mediastinum ratio

Claims (9)

一種結合生理偵檢裝置監測心血管及腦部功能之系統裝置,包括:一穿戴式生理檢測裝置,具有一主機及至少一外部感知元件,該主機內部設有一微處理單元、一記憶單元、一感知訊號接收模組及一通訊控制模組,該外部感知元件係穿戴於人體上,用以偵測預設之人體生理狀態,並產生相對應之感應訊號,由該感知訊號接收模組接收該感應訊號,並轉換成各項生理數據後,再傳送至該微處理單元,該記憶單元中儲存有該穿戴式生理檢測裝置整體運作所需之韌體,該微處理單元於執行該韌體後,能控制該通訊控制模組對已配對之外部電子裝置傳輸該等生理數據;一具有計算功能之電子裝置,設有一中央處理單元、一記憶模組及一通訊模組,該通訊模組係能經由前述已配對之通訊控制模組接收該等生理數據,並傳送至該中央處理單元,該記憶模組中除儲存有一應用程式(APP)外,並設有一儲存各種資料之資料庫,於該應用程式中具有各種計算推導之函數式,當該中央處理單元執行該應用程式後,能將上述各項生理數據經由各該函數式進行計算與推導,以產生對於心血管及腦部功能檢查之分析監測結果。 A system device for monitoring cardiovascular and brain functions combined with a physiological detection device, comprising: a wearable physiological detection device with a host and at least one external sensing element. The host is provided with a micro-processing unit, a memory unit, and a A sensing signal receiving module and a communication control module. The external sensing element is worn on the human body to detect a preset physiological state of the human body and generate a corresponding sensing signal, which is received by the sensing signal receiving module After the sensing signal is converted into various physiological data, it is sent to the micro-processing unit. The memory unit stores the firmware required for the overall operation of the wearable physiological detection device. The micro-processing unit executes the firmware , Can control the communication control module to transmit the physiological data to the paired external electronic device; an electronic device with computing function, equipped with a central processing unit, a memory module and a communication module, the communication module is The physiological data can be received through the aforementioned paired communication control module and sent to the central processing unit. In addition to storing an application program (APP) in the memory module, there is also a database for storing various data. The application program has various calculation and derivation function formulas. When the central processing unit executes the application program, the above-mentioned physiological data can be calculated and deduced through each function formula to generate a test for cardiovascular and brain function Analyze the monitoring results. 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及腦部功能之系統裝置,其中該主機具有一切換操作模組,用以控制切換各不同生理檢測項目及動作,且該記憶單元中設有一能儲存該等生理數據之資料儲存單元。 The system device for monitoring cardiovascular and brain functions combined with a physiological detection device as described in item 1 of the scope of patent application, wherein the host has a switching operation module for controlling switching of different physiological detection items and actions, and A data storage unit capable of storing the physiological data is provided in the memory unit. 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及腦部功能之系統裝置,其中該外部感知元件係設置於頭部或頸部或手腕或手臂或腳或其它人體動脈流經之部位。 The system device for monitoring cardiovascular and brain functions combined with a physiological detection device as described in item 1 of the scope of patent application, wherein the external sensing element is set on the head or neck or wrist or arm or foot or other human arterial flow By the part. 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及 腦部功能之系統裝置,其中該電子裝置具有一執行對該中央處理單元各項控制動作之操作模組;以及一能顯示各操作過程及計算分析結果之顯示模組。 As described in item 1 of the scope of patent application, the combined physiological detection device monitors cardiovascular and A system device for brain functions, wherein the electronic device has an operation module that performs various control actions on the central processing unit; and a display module that can display each operation process and calculation and analysis results. 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及腦部功能之系統裝置,其中該電子裝置係為個人電腦或筆記型電腦或平板電腦或行動電話。 For example, the system device for monitoring cardiovascular and brain functions combined with a physiological detection device as described in item 1 of the scope of patent application, wherein the electronic device is a personal computer or a notebook computer or a tablet computer or a mobile phone. 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及腦部功能之系統裝置,其中該外部感知元件係經由光學感測或電訊號量測或壓力感測等方式進行生理檢測。 The system device for monitoring cardiovascular and brain functions combined with a physiological detection device as described in item 1 of the scope of patent application, wherein the external sensing element performs physiological detection through optical sensing, electrical signal measurement, or pressure sensing. . 如申請專利範圍第1項所述之結合生理偵檢裝置監測心血管及腦部功能之系統,其中該通訊控制模組與該通訊模組之間係經由無線方式傳輸訊號。 The system for monitoring cardiovascular and brain functions combined with a physiological detection device as described in item 1 of the scope of patent application, wherein the communication control module and the communication module transmit signals via wireless means. 一種結合生理偵檢裝置監測心血管及腦部功能之監測方法,至少包括:一「接收心率及脈壓等生理數據」步驟,係由該電子裝置接收該穿戴式生理檢測裝置傳輸之心率及脈壓等生理數據;一「利用心率或脈壓數據計算清除率數值」步驟,將上述心率數值經由一清除速率與心率關係函數式計算出一清除率數值;將上述脈壓數值經由一清除速率與脈壓關係函數式計算出該清除率數值;一「利用清除率數值計算心搏量指數數值」步驟,將上述清除率數值經由一清除速率與心搏量指數關係函數式計算出一心搏量指數數值;一「利用心搏量指數數值計算早期心臟/縱膈比值或延遲心臟/縱膈比值」步驟,將上述心搏量指數數值經由一早期心臟/縱膈比值與心搏量指數關係式計算出一早期心臟/縱膈比值;將該心搏量指數數值藉由一延遲心臟/縱膈比值與心搏量指數關係函數式計算出一早期延遲心臟/縱膈比值或延遲心臟/縱膈比值; 一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測心臟功能」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入一心臟功能監測圖,供心臟功能監測;一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測神經功能」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入一神經功能監測圖,供神經功能監測;一「藉由該早期心臟/縱膈比值或延遲心臟/縱膈比值監測腦部影像」步驟,將該早期心臟/縱膈比值或該延遲心臟/縱膈比值分別套入一正常人及各種腦部檢測影像圖,以監測腦部影像。 A monitoring method for monitoring cardiovascular and brain functions combined with a physiological detection device, at least including: a step of "receiving physiological data such as heart rate and pulse pressure" in which the electronic device receives the heart rate and pulse transmitted by the wearable physiological detection device Physiological data such as pressure; a step of "calculating clearance rate value using heart rate or pulse pressure data", the above heart rate value is calculated through a clearance rate and heart rate relationship function to calculate a clearance rate value; the above pulse pressure value is calculated through a clearance rate and The pulse pressure relation function formula calculates the clearance rate value; a step of "calculating the stroke volume index value using the clearance rate value" step is to calculate a stroke volume index from the clearance rate value through a function formula of the clearance rate and stroke volume index Numerical value; a step of "calculating the early heart/mediastinum ratio or delayed heart/mediastinum ratio using the stroke volume index value", the above-mentioned stroke volume index value is calculated by a relationship between the early heart/mediastinum ratio and the stroke volume index Calculate an early heart/mediastinum ratio; use the stroke volume index value to calculate an early delayed heart/mediastinum ratio or a delayed heart/mediastinum ratio by using a function of delayed heart/mediastinum ratio and stroke volume index ; A step of "monitoring heart function by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio", insert the early heart/mediastinum ratio or the delayed heart/mediastinum ratio into a cardiac function monitoring chart, respectively, for Cardiac function monitoring; a step of "monitoring nerve function by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio", and the early heart/mediastinum ratio or the delayed heart/mediastinum ratio is inserted into a nerve function respectively Monitoring chart for neurological function monitoring; a step of "monitoring brain imaging by the early heart/mediastinum ratio or the delayed heart/mediastinum ratio", respectively, the early heart/mediastinum ratio or the delayed heart/mediastinum ratio Insert a normal person and various brain detection image maps to monitor brain images. 如申請專利範圍第8項所述之結合生理偵檢裝置監測心血管及腦部功能之監測方法,其中該清除速率與脈壓關係函數式:y=-0.6094x+63.325;R2=0.3284;ρ<0.05其中:y:清除速率(WR);x:脈壓(PP);ρ:統計差異值該清除速率與心率關係函數式:y=0.2459x+12.111;R2=0.4008;ρ<0.01其中:y:清除速率(WR);x:心率(HR)該清除速率與心搏量指數關係函數式:y=-0.7978x+70.826;R2=0.3578;ρ<0.05其中:y:心搏量指數(SVI);x:清除速率(WR)該早期心臟/縱膈比值與心搏量指數關係函數式:y=0.0162x+1.3379;R2=0.4412;ρ<0.01其中:y:早期心臟/縱膈比值(early H/M);x:心搏量指數(SVI) 該延遲心臟/縱膈比值與心搏量指數關係函數式:y=0.0161x+1.0938;R2=0.3897;ρ<0.05其中:y:延遲心臟/縱膈比值(delayed H/M);x:心搏量指數(SVI)。 As described in item 8 of the scope of patent application, the monitoring method for monitoring cardiovascular and brain functions combined with a physiological detection device, wherein the clearance rate and pulse pressure relationship function: y=-0.6094x+63.325; R 2 =0.3284; ρ <0.05 where: y: clearance rate (WR); x: pulse pressure (PP); ρ : statistical difference value. The relationship between clearance rate and heart rate: y=0.2459x+12.111; R 2 =0.4008; ρ <0.01 Among them: y: clearance rate (WR); x: heart rate (HR) The relationship between the clearance rate and stroke volume index: y=-0.7978x+70.826; R 2 =0.3578; ρ <0.05 where: y: heartbeat Volume Index (SVI); x: Clearance Rate (WR) The relationship between the early heart/mediastinum ratio and the stroke volume index: y=0.0162x+1.3379; R 2 =0.4412; ρ <0.01 where: y: early heart /Mediastinum ratio (early H/M); x: stroke volume index (SVI) The relationship between the delayed heart/mediastinum ratio and the stroke volume index: y=0.0161x+1.0938; R 2 =0.3897; ρ < 0.05 where: y: delayed heart/mediastinum ratio (delayed H/M); x: stroke volume index (SVI).
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TWM555707U (en) * 2017-08-25 2018-02-21 筑波科技股份有限公司 Arrhythmia detecting apparatus and related system thereof
TWI653967B (en) * 2017-12-08 2019-03-21 國立成功大學 Arrhythmia diagnostic system and device, and method for arrhythmia recognition

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