TWI759993B - Method and device of contact-type blood pressure measurement - Google Patents
Method and device of contact-type blood pressure measurement Download PDFInfo
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本發明係關於一種連續偵測血壓的方法及裝置,特別係指一種藉由接觸的方式以連續偵測血壓的方法及裝置。 The present invention relates to a method and device for continuously detecting blood pressure, and particularly to a method and device for continuously detecting blood pressure by means of contact.
非侵入式的血壓偵測,主要分為接觸式與非接觸式。 Non-invasive blood pressure detection is mainly divided into contact type and non-contact type.
接觸式的血壓偵測,例如有:中華民國專利公告號第M483774號提供的一種壓脈袋及其應用之血壓量測裝置。前述專利案主要是使流體袋膨脹,阻斷人體動脈血流,再減少流體袋中的氣壓使血流流通,血流撞擊動脈壁產生的震動傳至包覆件表面並被可拆式壓力感測器感測到,最後由血壓量測主機推算人體血壓的收縮壓值,並在流體袋不壓迫人體動脈時,推算人體血壓的舒張壓值。 Contact-type blood pressure detection, for example, includes a cuff and a blood pressure measuring device for its application provided by the Republic of China Patent Publication No. M483774. The aforementioned patent case mainly expands the fluid bag to block the blood flow of human arteries, and then reduces the air pressure in the fluid bag to allow the blood flow to circulate. The detector senses, and finally the blood pressure measuring host calculates the systolic blood pressure value of the human blood pressure, and when the fluid bag does not compress the human arteries, the diastolic blood pressure value of the human blood pressure is estimated.
非接觸式的血壓偵測,則例如有:國立台北護理健康大學資訊管理研究所張治中撰寫的論文「以臉部視訊即時連續監測心率、心率變異、血壓之研究與實作」。前述論文主要是以webcam非接觸的拍攝受試者的臉部,並藉由電荷耦合元件圖像感測器將光變化轉為電壓訊號,再由類比數位轉換器轉為數位訊號,最後由電腦分析出受測者的生理參數。 For example, non-contact blood pressure monitoring includes: "Research and Implementation of Real-time Continuous Monitoring of Heart Rate, Heart Rate Variability, and Blood Pressure Using Face Video" by Zhang Zhizhong, Institute of Information Management, National Taipei University of Nursing and Health. The aforementioned paper mainly uses a webcam to non-contact the subject's face, and uses a charge-coupled element image sensor to convert the light change into a voltage signal, which is then converted into a digital signal by an analog-to-digital converter, and finally converted into a digital signal by a computer. The physiological parameters of the subjects were analyzed.
而當患者有高血壓,或是患有其他高危險的疾病時,往往需要頻繁量血壓,甚至可能要每小時都量一次血壓。在這種情況下,要是有數名這樣 的患者同時住院,若要每小時都對每一位患者以前述專利案的方式量測,還要顧及其他一般患者,醫護人員將會分身乏術。 When patients have high blood pressure or other high-risk diseases, they often need to measure blood pressure frequently, maybe even every hour. In this case, if there are several names like this of patients are hospitalized at the same time, and if each patient is to be measured every hour in the manner described in the aforementioned patent case, and other general patients are also taken into consideration, medical staff will be overwhelmed.
相較之下,前述論文的方式較能夠解決醫護人員人力不足的困境。然而,前述論文實際在收縮壓的誤差高達9毫米汞柱,在舒張壓的誤差也有5毫米汞柱,對於高血壓或有高危險疾病的患者來說,9毫米汞柱的誤差就有可能使醫護人員對患者的血壓情況產生誤判,前述論文血壓測量的準確性仍有待提升。 In contrast, the method of the aforementioned paper is more able to solve the dilemma of the shortage of medical staff. However, the aforementioned paper actually has an error of up to 9 mmHg in systolic blood pressure and 5 mmHg in diastolic blood pressure. Medical staff have misjudged the blood pressure of patients, and the accuracy of blood pressure measurement in the aforementioned paper still needs to be improved.
爰此,本發明人提出一種接觸式偵測血壓方法,包含:先由一血壓計對一人體進行血壓的量測,並取得該人體的一初始血壓之後;再由一接觸式影像單元的一影像擷取元件接觸該人體並取得該人體在一第一時間區間中的一連續影像;一控制單元根據該連續影像在該第一時間區間中的明暗變化,自該連續影像取得該人體的一第一血壓頻率資訊;該控制單元將該初始血壓除以該第一血壓頻率資訊,取得該人體的一血管阻抗;該影像擷取元件接觸該人體並取得該人體在一第二時間區間中的該連續影像,該控制單元根據該連續影像在該第二時間區間中的明暗變化,自該連續影像取得該人體的一第二血壓頻率資訊;以及該控制單元將該血管阻抗乘以該第二血壓頻率資訊,取得該人體的一更新血壓。 Therefore, the present inventor proposes a contact-type blood pressure detection method, comprising: firstly measuring the blood pressure of a human body with a sphygmomanometer, and obtaining an initial blood pressure of the human body; The image capturing element contacts the human body and obtains a continuous image of the human body in a first time interval; a control unit obtains a continuous image of the human body from the continuous image according to the light and dark changes of the continuous image in the first time interval first blood pressure frequency information; the control unit divides the initial blood pressure by the first blood pressure frequency information to obtain a blood vessel impedance of the human body; the image capture element contacts the human body and obtains the human body in a second time interval In the continuous image, the control unit obtains a second blood pressure frequency information of the human body from the continuous image according to the light and dark changes of the continuous image in the second time interval; and the control unit multiplies the blood vessel impedance by the second Blood pressure frequency information to obtain an updated blood pressure of the human body.
進一步,當該影像擷取元件接觸該人體並取得該人體在該第一時間區間中或該第二時間區間中的該連續影像時,該控制單元控制該接觸式影像單元的一影像補光元件對該人體發射一補充光。 Further, when the image capturing element contacts the human body and obtains the continuous image of the human body in the first time interval or in the second time interval, the control unit controls an image fill light element of the contact image unit A supplementary light is emitted to the human body.
進一步,該控制單元取得該人體的該初始血壓及該更新血壓之後,將該初始血壓及該更新血壓送至一顯示單元顯示。 Further, after acquiring the initial blood pressure and the updated blood pressure of the human body, the control unit sends the initial blood pressure and the updated blood pressure to a display unit for display.
進一步,該控制單元取得該人體的該初始血壓及該更新血壓之後,將該初始血壓及該更新血壓上傳至一醫院資訊系統。 Further, after acquiring the initial blood pressure and the updated blood pressure of the human body, the control unit uploads the initial blood pressure and the updated blood pressure to a hospital information system.
其中,該控制單元根據該連續影像在該第一時間區間及該第二時間區間中的明暗變化,分別推算出該人體在該第一時間區間及該第二時間區間中血液流量的變化,再分別計算出該第一時間區間及該第二時間區間中的一流量時間積分,並分別與該第一時間區間及該第二時間區間的倒數相乘,以做為該第一血壓頻率資訊及該第二血壓頻率資訊。 Wherein, the control unit calculates the changes of the blood flow of the human body in the first time interval and the second time interval respectively according to the light and dark changes of the continuous image in the first time interval and the second time interval, and then Calculate a flow time integral in the first time interval and the second time interval respectively, and multiply by the reciprocal of the first time interval and the second time interval respectively, as the first blood pressure frequency information and The second blood pressure frequency information.
本發明人也提出不同的一種接觸式偵測血壓方法,包含:先由一血壓計對一人體進行血壓的量測,並取得該人體的一初始血壓之後;再由一接觸式光單元的一光發射元件接觸該人體並發出一入射光至該人體;該接觸式光單元的一光接收元件取得該人體在一第一時間區間中的一反射光;一控制單元根據該反射光在該第一時間區間中的明暗變化,自該反射光取得該人體的一第一血壓頻率資訊;該控制單元將該初始血壓除以該第一血壓頻率資訊,取得該人體的一血管阻抗;該光接收元件接觸該人體並取得該人體在一第二時間區間中的該反射光,該控制單元根據該反射光在該第二時間區間中的明暗變化,自該反射光取得該人體的一第二血壓頻率資訊;以及該控制單元將該血管阻抗乘以該第二血壓頻率資訊,取得該人體的一更新血壓,其中,該控制單元根據該反射光在該第一時間區間及該第二時間區間中的明暗變化,分別推算出該人體在該第一時間區間及該第二時間區間中血液流量的變化,再分別計算出該第一時間區間及該第二時間區間中的一流量時間積分,並分別與該第一時間區間及 該第二時間區間的倒數相乘,以做為該第一血壓頻率資訊及該第二血壓頻率資訊。 The present inventor also proposes a different contact-type blood pressure detection method, which includes: firstly measuring the blood pressure of a human body with a sphygmomanometer, and obtaining an initial blood pressure of the human body; The light emitting element contacts the human body and emits an incident light to the human body; a light receiving element of the contact light unit obtains a reflected light of the human body in a first time interval; a control unit according to the reflected light in the first time interval The light and dark changes in a time interval obtain a first blood pressure frequency information of the human body from the reflected light; the control unit divides the initial blood pressure by the first blood pressure frequency information to obtain a blood vessel impedance of the human body; the light receiving The element contacts the human body and obtains the reflected light of the human body in a second time interval, and the control unit obtains a second blood pressure of the human body from the reflected light according to the light and dark changes of the reflected light in the second time interval frequency information; and the control unit multiplies the blood vessel impedance by the second blood pressure frequency information to obtain an updated blood pressure of the human body, wherein the control unit is in the first time interval and the second time interval according to the reflected light The light and dark changes of the human body in the first time interval and the second time interval are respectively calculated, and then a flow time integral in the first time interval and the second time interval is calculated respectively, and respectively with the first time interval and The reciprocals of the second time interval are multiplied to obtain the first blood pressure frequency information and the second blood pressure frequency information.
本發明人再提出一種接觸式偵測血壓裝置,用於連續量測一人體的血壓,該接觸式偵測血壓裝置包含:一控制單元;一血壓計,訊號連接該控制單元,該血壓計對該人體進行量測以取得該人體的一初始血壓之後;以及一接觸式影像單元,訊號連接該控制單元,該接觸式影像單元包含一影像擷取元件,該影像擷取元件選擇式的接觸該人體;該血壓計先對該人體進行血壓的量測以取得該初始血壓,該影像擷取元件再接觸該人體並取得該人體在一第一時間區間中的一連續影像,該控制單元根據該連續影像在該第一時間區間中的明暗變化,自該連續影像取得該人體的一第一血壓頻率資訊,並將該初始血壓除以該第一血壓頻率資訊,取得該人體的一血管阻抗;該影像擷取元件接觸該人體並取得該人體在一第二時間區間中的該連續影像,該控制單元根據該連續影像在該第二時間區間中的明暗變化,自該連續影像取得該人體的一第二血壓頻率資訊,該控制單元將該血管阻抗乘以該第二血壓頻率資訊,取得該人體的一更新血壓,其中,該控制單元根據該連續影像在該第一時間區間及該第二時間區間中的明暗變化,分別推算出該人體在該第一時間區間及該第二時間區間中血液流量的變化,再分別計算出該第一時間區間及該第二時間區間中的一流量時間積分,並分別與該第一時間區間及該第二時間區間的倒數相乘,以做為該第一血壓頻率資訊及該第二血壓頻率資訊。 The inventor further proposes a contact-type blood pressure detection device for continuously measuring the blood pressure of a human body. The contact-type blood pressure detection device includes: a control unit; After the human body is measured to obtain an initial blood pressure of the human body; and a contact image unit, the signal is connected to the control unit, the contact image unit includes an image capture element, and the image capture element selectively contacts the the human body; the sphygmomanometer first measures the blood pressure of the human body to obtain the initial blood pressure, the image capturing element then contacts the human body and obtains a continuous image of the human body in a first time interval, the control unit according to the obtaining a first blood pressure frequency information of the human body from the continuous image of the light and dark changes in the first time interval, and dividing the initial blood pressure by the first blood pressure frequency information to obtain a blood vessel impedance of the human body; The image capturing element contacts the human body and acquires the continuous image of the human body in a second time interval, and the control unit acquires the human body from the continuous image according to the light and dark changes of the continuous image in the second time interval a second blood pressure frequency information, the control unit multiplies the blood vessel impedance by the second blood pressure frequency information to obtain an updated blood pressure of the human body, wherein the control unit according to the continuous image in the first time interval and the second Light and dark changes in the time interval, respectively calculate the blood flow changes of the human body in the first time interval and the second time interval, and then calculate the first time interval and the second time interval respectively. A flow time in the time interval Integrate and multiply by the reciprocals of the first time interval and the second time interval respectively to obtain the first blood pressure frequency information and the second blood pressure frequency information.
進一步,該接觸式影像單元有一影像補光元件;當該影像擷取元件接觸該人體並取得該人體在該第一時間區間中或該第二時間區間中的該連續影像時,該控制單元控制該影像補光元件對該人體發射一補充光。 Further, the contact image unit has an image supplementary light element; when the image capture element contacts the human body and obtains the continuous image of the human body in the first time interval or the second time interval, the control unit controls The image supplementary light element emits supplementary light to the human body.
其中,該補充光的光強度介於0.1燭光至20燭光之間,該補充光的光波長介於620奈米至750奈米之間。 Wherein, the light intensity of the supplementary light is between 0.1 candle light and 20 candle light, and the light wavelength of the supplementary light is between 620 nanometers and 750 nanometers.
進一步,該接觸式影像單元有相對的二板件,所述板件的一端結合有一樞轉元件使所述板件可相對樞轉,所述板件的另一端各有一夾持部以夾持該人體,該影像擷取元件位於其中一板件的該夾持部上。 Further, the contact image unit has two opposite plates, one end of the plate is combined with a pivot element so that the plate can pivot relatively, and the other end of the plate has a clamping portion for clamping The human body and the image capturing element are located on the clamping portion of one of the boards.
進一步,該血壓計為臂式壓脈帶。 Further, the sphygmomanometer is an arm cuff.
根據上述技術特徵可達成以下功效: According to the above technical features, the following effects can be achieved:
1.醫護人員僅需量測第一次的初始血壓,後續的更新血壓即可由控制單元自動計算得到,無需醫護人員頻繁量測,且接觸式影像單元或接觸式光單元都會接觸人體,在解決醫護人員人力不足困境的同時,再提高更新血壓的準確性。 1. Medical staff only need to measure the initial blood pressure for the first time, and the subsequent updated blood pressure can be automatically calculated by the control unit, without the need for medical staff to measure frequently, and the contact image unit or contact light unit will contact the human body. At the same time as the shortage of medical staff, the accuracy of updating blood pressure should be improved.
2.藉由影像補光元件,且補充光的光強度介於0.1燭光至20燭光之間、光波長介於620奈米至750奈米之間,確保連續影像的明暗變化足夠清晰、準確,可以輔助控制單元取得最正確的第一血壓頻率資訊及第二血壓頻率資訊。 2. With the image supplementary light element, the light intensity of the supplementary light is between 0.1 candle light and 20 candle light, and the light wavelength is between 620 nanometers and 750 nanometers, so as to ensure that the light and dark changes of continuous images are clear and accurate enough. The auxiliary control unit obtains the most accurate first blood pressure frequency information and second blood pressure frequency information.
3.控制單元取得初始血壓及更新血壓之後,可以將初始血壓及更新血壓送至顯示單元顯示,方便醫護人員即時確認,或上傳至醫院資訊系統,方便後續醫療資訊的統計及分析。 3. After the control unit obtains the initial blood pressure and the updated blood pressure, it can send the initial blood pressure and the updated blood pressure to the display unit for display, which is convenient for medical staff to confirm immediately, or upload it to the hospital information system for subsequent statistics and analysis of medical information.
4.藉由接觸式影像單元夾持人體,確保影像擷取元件穩定接觸人體,避免影像擷取元件與人體分離而降低更新血壓的準確性。 4. The human body is clamped by the contact image unit to ensure that the image capture element is stably contacted with the human body, and the separation of the image capture element from the human body and the lowering of the accuracy of updating the blood pressure are avoided.
5.血壓計可以是傳統的臂式壓脈帶,符合醫護人員既有的醫療習慣,減少醫護人員的排斥。 5. The sphygmomanometer can be a traditional arm-type pulse pressure belt, which conforms to the existing medical habits of medical staff and reduces the rejection of medical staff.
6.除了藉由接觸式影像單元取得的連續影像進行第一血壓頻率資訊及第二血壓頻率資訊的計算,也可以是藉由接觸式光單元取得的反射光進行第一血壓頻率資訊及第二血壓頻率資訊的計算,應用範圍更為廣泛。 6. In addition to calculating the first blood pressure frequency information and the second blood pressure frequency information by the continuous images obtained by the contact image unit, the first blood pressure frequency information and the second blood pressure frequency information can also be calculated by the reflected light obtained by the contact light unit. The calculation of blood pressure frequency information has a wider range of applications.
1,1a:控制單元 1,1a: Control unit
2,2a:血壓計 2,2a: Sphygmomanometer
21:第一結合部 21: The first joint
22:第二結合部 22: The second joint
23:氣囊 23: Airbag
24:通訊器 24: Communicator
25:感測器 25: Sensor
3:接觸式影像單元 3: Contact image unit
31:第一板件 31: The first board
32:第二板件 32: Second board
33:影像擷取元件 33: Image capture component
34:影像補光元件 34: Image fill light element
35:夾持部 35: Clamping part
36:樞轉元件 36: Pivoting element
4,4a:顯示單元 4,4a: Display unit
5a:接觸式光單元 5a: Contact light unit
51a:光發射元件 51a: Light emitting element
52a:光接收元件 52a: Light receiving element
A:人體 A: human body
B:醫院資訊系統 B: Hospital Information System
t0:起始時間 t 0 : start time
t1:第一時間 t 1 : the first time
t2:第二時間 t 2 : the second time
t3:第三時間 t 3 : the third time
t4:第四時間 t 4 : Fourth time
t5:第五時間 t 5 : fifth time
t6:第六時間 t 6 : sixth time
[第一圖]係本發明之第一實施例之立體外觀圖。 [Figure 1] is a three-dimensional external view of the first embodiment of the present invention.
[第二圖]係本發明之第一實施例之系統方塊圖。 [Fig. 2] is a system block diagram of the first embodiment of the present invention.
[第三圖]係本發明之第一實施例之接觸式影像單元之側視圖。 [Figure 3] is a side view of the contact image unit according to the first embodiment of the present invention.
[第四圖]係本發明之第一實施例之流程示意圖。 [FIG. 4] is a schematic flow chart of the first embodiment of the present invention.
[第五圖]係本發明之第一實施例之實施示意圖一,示意使用血壓計。 [Fig. 5] is a schematic diagram 1 of the implementation of the first embodiment of the present invention, showing the use of a sphygmomanometer.
[第六圖]係本發明之第一實施例之實施示意圖二,示意使用接觸式影像單元。 [Fig. 6] is the second implementation diagram of the first embodiment of the present invention, which illustrates the use of a contact image unit.
[第七圖]係本發明之第一實施例於實施狀態下之側視圖,示意手指接觸到接觸式影像單元。 [Figure 7] is a side view of the first embodiment of the present invention in the implementation state, showing that the finger touches the contact image unit.
[第八圖]係本發明之第一實施例之影像亮度對時間關係示意圖。 [Figure 8] is a schematic diagram of the relationship between image brightness and time according to the first embodiment of the present invention.
[第九圖]係本發明之第一實施例之實施示意圖三,示意與醫院資訊系統連線,並在顯示單元上顯示更新血壓。 [Figure 9] is a schematic diagram 3 of the implementation of the first embodiment of the present invention, which shows the connection with the hospital information system, and the updated blood pressure is displayed on the display unit.
[第十圖]係本發明之第二實施例之系統方塊圖。 [Fig. 10] is a system block diagram of the second embodiment of the present invention.
[第十一圖]係本發明之第二實施例之流程示意圖。 [Figure 11] is a schematic flow chart of the second embodiment of the present invention.
[第十二圖]係本發明之第二實施例於實施狀態下之側視圖,示意手指接觸到接觸式光單元。 [Figure 12] is a side view of the second embodiment of the present invention in an implementation state, showing that a finger touches the contact light unit.
綜合上述技術特徵,本發明接觸式偵測血壓方法及其裝置的主要功效將可於下述實施例清楚呈現。 In view of the above technical features, the main effects of the contact-type blood pressure detection method and the device thereof of the present invention will be clearly presented in the following embodiments.
請參閱第一圖及第二圖,係揭示本發明實施例接觸式偵測血壓裝置的第一實施例,可用於執行本發明之一接觸式偵測血壓方法,以連續量測一人體A[該人體A請搭配第五圖]的血壓,該接觸式偵測血壓裝置包含: Please refer to the first and second figures, which show the first embodiment of the contact-type blood pressure detection device according to the embodiment of the present invention, which can be used to execute a contact-type blood pressure detection method of the present invention to continuously measure a human body A[ The human body A, please match the blood pressure of the fifth picture], the contact blood pressure detection device includes:
一控制單元1,在本發明之較佳實施例中,該控制單元1為遙控器形式,實際實施時,該控制單元1也可以是手機、電腦或平板電腦等等。
A
一血壓計2,訊號連接該控制單元1,在本發明之較佳實施例中,該血壓計2為臂式壓脈帶,實際實施時,該血壓計2也可以是水銀式血壓計或其他傳統血壓計。該血壓計2相對的兩端有一第一結合部21及一第二結合部22,該第一結合部21及該第二結合部22例如可以是魔鬼氈、扣環、鈕扣等等,本發明以魔鬼氈做為較佳實施例。該血壓計2中還有一氣囊23、一通訊器24及一感測器25,該氣囊23的充氣或放氣經由該通訊器24受該控制單元1控制,該感測器25則經由該通訊器24訊號連接該控制單元1。
A
一接觸式影像單元3,請參閱第一圖至第三圖,該接觸式影像單元3訊號連接該控制單元1,該接觸式影像單元3包含上下相對的一第一板件31及一第二板件32,並有一影像擷取元件33及一影像補光元件34相鄰設置於該第二板件32上。該第一板件31及該第二板件32的一端各有一夾持部35以夾持該人體A[該人體A請搭配第五圖],該第一板件31及該第二板件32的另一端則藉由一樞轉元件36而能夠相對樞轉,該影像擷取元件33及該影像補光元件34皆位於該第二板件32的該夾持部35上以選擇式的接觸該人體A。在本發明之較佳實施例中,該接觸式影像單元3是夾持於該人體A的手指端部,上方指的是手背側,下
方指的則是手心側,而該第一板件31對應手背側,該第二板件32對應手心側,使得設置於該第二板件32上的該影像擷取元件33及該影像補光元件34不會受到手背側的指甲影響,降低量測的誤差。
A
一顯示單元4,訊號連接該控制單元1,在本發明之較佳實施例中,該顯示單元4結合於該控制單元1。於實際實施時,該顯示單元4也可以是獨立的螢幕,或是結合於生理監視器等等。
A
請參閱第四圖及第五圖,並請搭配第一圖,要使用該接觸式偵測血壓裝置執行該接觸式偵測血壓方法時,先將該血壓計2包覆於該人體A,較佳地,是由一醫護人員將該血壓計2包覆於該人體A的上臂。該醫護人員再將該第一結合部21及該第二結合部22互相貼合,使得該血壓計2穩固的包覆於該人體A。接著,該醫護人員操作該控制單元1,使該氣囊23受該控制單元1控制而充氣或放氣,並藉由該感測器25量測該人體A表面的震動,該控制單元1進而取得該人體A的一初始血壓,該控制單元1並將該初始血壓顯示於該顯示單元4上,例如第五圖所示的140/90毫米汞柱。要特別補充說明的是,該血壓計2的運作原理為習知技術,因此於此不再贅述,也未於圖式中詳細繪出。由於該血壓計2可以是傳統的臂式壓脈帶,符合該醫護人員既有的醫療習慣,減少該醫護人員的排斥。
Please refer to Figure 4 and Figure 5 together with Figure 1. To use the contact-type blood pressure detection device to perform the contact-type blood pressure detection method, first wrap the
請參閱第四圖、第六圖及第七圖,該控制單元1取得該人體A的該初始血壓之後[該控制單元1請搭配第一圖],該醫護人員按壓該接觸式影像單元3,使該第一板件31及該第二板件32藉由該樞轉元件36相對樞轉,該第一板件31及該第二板件32的該夾持部35因而相互遠離,再將該人體A的手指端部放置於該第一板件31及該第二板件32的該夾持部35之間,該醫護人員放開該接觸式影
像單元3,使該第一板件31及該第二板件32藉由該樞轉元件36再次相對樞轉,使該接觸式影像單元3因而藉由該夾持部35夾持於該人體A的手指端部。
Please refer to Fig. 4, Fig. 6 and Fig. 7, after the
當該接觸式影像單元3夾持於該人體A之後,該影像擷取元件33及該影像補光元件34都會接觸該人體A。該影像擷取元件33先取得該人體A在一第一時間區間中的一連續影像,該第一時間區間例如從一起始時間t0至一第一時間t1,以及從該第一時間t1到一第二時間t2[該起始時間t0、該第一時間t1及該第二時間t2請搭配第八圖],該第一時間區間即代表一次心搏週期(心臟一次收縮舒張及一次舒張)的時間。該控制單元1再根據該連續影像,選擇是否控制該影像補光元件34對該人體A發射一補充光,且該補充光的光強度介於0.1燭光至20燭光之間,即為一般LED的光源強度,該補充光的光波長介於620奈米至750奈米之間,即紅光的波段。舉例來說,該控制單元1可以持續控制該影像補光元件34對該人體A發射該補充光,也可以是在該連續影像的亮度最大值與亮度最小值之差異低於一閾值亮度時,該控制單元1再控制該影像補光元件34對該人體A發射該補充光。
After the
藉由該影像補光元件34確保該連續影像的明暗變化足夠清晰、準確,可以輔助該控制單元1後續取得最正確的一第一血壓頻率資訊及一第二血壓頻率資訊,而由於該接觸式影像單元3夾持該人體A,確保該影像擷取元件33穩定接觸該人體A,避免該影像擷取元件33與該人體A分離而降低後續取得的一更新血壓的準確性。
The image
請參閱第四圖、第七圖及第八圖,該控制單元1根據該連續影像在該第一時間區間中的明暗變化[該控制單元1請搭配第一圖],自該連續影像取
得該人體A的該第一血壓頻率資訊。該控制單元1將該初始血壓除以該第一血壓頻率資訊,取得該人體A的一血管阻抗。
Please refer to Figure 4, Figure 7 and Figure 8, the
該影像擷取元件33繼續接觸該人體A並取得該人體A在一第二時間區間中的該連續影像,該第二時間區間例如從該第二時間t2至一第三時間t3,以及從該第三時間t3到一第四時間t4。該控制單元1根據該連續影像在該第二時間區間中的明暗變化,自該連續影像取得該人體A的該第二血壓頻率資訊。該控制單元1將該血管阻抗乘以該第二血壓頻率資訊,取得該人體A在該第二時間區間中的該更新血壓,例如第九圖所示的150/98毫米汞柱。
The
該影像擷取元件33還可以繼續接觸該人體A並取得該人體A在一第三時間區間中的該連續影像,該第三時間區間例如從該第四時間t4至一第五時間t5,以及從該第五時間t5到一第六時間t6。該控制單元1根據該連續影像在該第三時間區間中的明暗變化,自該連續影像取得該人體A的一第三血壓頻率資訊。該控制單元1將該血管阻抗乘以該第三血壓頻率資訊,取得該人體A在該第三時間區間中的該更新血壓,例如第九圖所示的146/93毫米汞柱。
The
由於該連續影像越亮,代表流經血管的紅血球越多,而紅血球流量則正比於血液流量,因此該控制單元1可以根據該連續影像在該第一時間區間、該第二時間區間及該第三時間區間中的明暗變化,分別推算出該人體A在該第一時間區間、該第二時間區間及該第三時間區間中血液流量的變化。該控制單元1再將血液流量與時間做積分,分別計算出該第一時間區間、該第二時間區間及該第三時間區間中的一流量時間積分(volume time integral,VTI1,VTI2,VTI3),並分別與該第一時間區間、該第二時間區間及該第三時間區間的倒數(1/t2-t0,1/t4-t2,1/t6-t4)取乘積,以分別做為該第一血壓頻率資訊、該第二血壓頻
率資訊及該第三血壓頻率資訊。當該第一時間區間、該第二時間區間及該第三時間區間為一分鐘時,該流量時間積分總和也就正比於該人體A的心輸出量(cardiac output)。
Since the brighter the continuous image, the more red blood cells flow through the blood vessel, and the red blood cell flow is proportional to the blood flow, so the
該控制單元1藉由血壓(單位:毫米汞柱)等於血壓頻率資訊(即代表心輸出量參數,單位:公升每分鐘)乘上血管阻抗(單位:毫米汞柱分鐘每公升)的關係式,先由該初始血壓及該第一血壓頻率資訊推算出該血管阻抗,之後再由該血管阻抗及該第二血壓頻率資訊推算出該第二時間區間的該更新血壓,並由該血管阻抗及該第三血壓頻率資訊推算出該第三時間區間的該更新血壓。
The
要特別補充說明的是,該第一時間區間、該第二時間區間及該第三時間區間的血壓分別包含完整的一次心搏週期(一次心臟收縮及一次舒張),而收縮壓對應的是該連續影像較亮的情況,舒張壓對應的則是該連續影像較暗的情況,該控制單元1並可以分別計算出該更新血壓中的收縮壓、舒張壓及平均動脈壓。除此之外,該第一時間區間、該第二時間區間及該第三時間區間的該連續影像可以在開始計算之前就量測完畢,該接觸式影像單元3就不用一直夾持於該人體A;或者,該影像擷取元件33一次擷取的該連續影像即對應複數次的心搏週期,可以抓取其中一次心搏週期以對應該第一時間區間,剩下的心搏週期則對應該第二時間區間及該第三時間區間等等。
It should be specially added that the blood pressures in the first time interval, the second time interval and the third time interval respectively include a complete heart cycle (one systole and one diastole), and the systolic blood pressure corresponds to the When the continuous image is brighter, the diastolic blood pressure corresponds to the darker continuous image. The
請參閱第一圖及第九圖,當該控制單元1取得該更新血壓之後,將該更新血壓送至該顯示單元4顯示,方便該醫護人員即時確認,同時,將該初始血壓及該更新血壓上傳至一醫院資訊系統B,方便後續醫療資訊的統計及分析。
Please refer to the first figure and the ninth figure, after the
實際實施時,為了避免降低該更新血壓的準確性,本次該初始血壓的測量時間過了一閾值時間之後(例如四小時),還是可以由該醫護人員操作該血壓計2,取得下一次的該初始血壓,以在下一輪的該第二時間區間及該第三時間區間取得正確的該更新血壓。
In actual implementation, in order to avoid reducing the accuracy of the updated blood pressure, after the initial blood pressure measurement time has passed a threshold time (for example, four hours), the medical staff can still operate the
請參閱第十圖至第十二圖,係揭示本發明實施例接觸式偵測血壓裝置的第二實施例,可用於執行本發明之該接觸式偵測血壓方法,同樣可以連續量測該人體A的血壓。 Please refer to FIGS. 10 to 12, which show the second embodiment of the contact-type blood pressure detection device according to the embodiment of the present invention, which can be used to execute the contact-type blood pressure detection method of the present invention, and can also continuously measure the human body. A's blood pressure.
本實施例與第一實施例的不同之處在於:在第一實施例中[第一實施例請搭配第二圖],該接觸式偵測血壓裝置包含有該接觸式影像單元3,該接觸式影像單元3上還有該影像擷取元件33及該影像補光元件34;而在本實施例中,該接觸式偵測血壓裝置則包含有一接觸式光單元5a,該接觸式光單元5a上則有一光發射元件51a及一光接收元件52a在該接觸式光單元5a的同一側相鄰設置。該光發射元件51a可以為發光二極體,該光接收元件52a則為光電二極體。
The difference between this embodiment and the first embodiment is that in the first embodiment [please match the second picture for the first embodiment], the contact blood pressure detection device includes the
本實施例的該接觸式偵測血壓裝置,同樣可用於執行本發明之該接觸式偵測血壓方法。由於該控制單元1a、該血壓計2a及該顯示單元4a可以選擇與第一實施例相同的,因此未於圖式中重新繪出該控制單元1a、該血壓計2a及該顯示單元4a的外觀。
The contact-type blood pressure detection device of this embodiment can also be used to implement the contact-type blood pressure detection method of the present invention. Since the control unit 1a, the
與第一實施例類似,要使用該接觸式偵測血壓裝置執行該接觸式偵測血壓方法時,同樣先將該血壓計2a包覆於該人體A進行量測,以讓該控制單元1a取得該人體A的該初始血壓。接著,該醫護人員藉由與操作第一實施例之該接觸式影像單元3相同的方式,按壓該接觸式光單元5a,使該接觸式光單元
5a夾持於該人體A的手指端部,而該光發射元件51a及該光接收元件52a則皆接觸該人體A。
Similar to the first embodiment, when using the contact-type blood pressure detection device to perform the contact-type blood pressure detection method, the
該光發射元件51a先發出一入射光至該人體A,該光接收元件52a取得該人體A在該第一時間區間中的一反射光,該入射光的光強度可以為一般LED的光源強度,該入射光的光波長則可以為紅光波段。
The light-emitting
根據該反射光在該第一時間區間、該第二時間區間及該第三時間區間中的明暗變化,即該反射光的反射量,該控制單元1a分別自該反射光取得該人體A的該第一血壓頻率資訊、該第二血壓頻率資訊及該第三血壓頻率資訊。該反射光越亮,與第一實施例的該連續影像相似,都代表著流經血管的紅血球越多,即血液流量越多。該控制單元1a可以根據該反射光在該第一時間區間、該第二時間區間及該第三時間區間中的明暗變化,分別推算出該人體A在該第一時間區間、該第二時間區間及該第三時間區間中血液流量的變化。該控制單元1a再將血液流量與時間做積分,分別計算出該第一時間區間、該第二時間區間及該第三時間區間中的一流量時間積分(volume time integral,VTI1,VTI2,VTI3),並分別與該第一時間區間、該第二時間區間及該第三時間區間的倒數(1/t2-t0,1/t4-t2,1/t6-t4)取乘積,以分別做為該第一血壓頻率資訊、該第二血壓頻率資訊及該第三血壓頻率資訊。
According to the changes of the reflected light in the first time interval, the second time interval and the third time interval, that is, the reflection amount of the reflected light, the control unit 1a obtains the body A from the reflected light, respectively. The first blood pressure frequency information, the second blood pressure frequency information and the third blood pressure frequency information. The brighter the reflected light is, similar to the continuous image of the first embodiment, which means that the more red blood cells flow through the blood vessel, that is, the more blood flow. The control unit 1a can calculate the first time interval and the second time interval of the human body A according to the changes of the reflected light in the first time interval, the second time interval and the third time interval, respectively. and the change of blood flow in the third time interval. The control unit 1a then integrates the blood flow and time, and calculates a flow time integral (volume time integral, VTI 1 , VTI 2 ,
要補充說明的是,該光接收元件52a接收到該反射光後,可以先經過一連串的電流電壓轉換器、濾波器、放大器......等電子電路元件,以將光訊號轉為該控制單元1a可以讀取的電訊號,該控制單元1a再根據電訊號的大小判斷該反射光的明暗變化,惟此部分技術即為光體積變化描記圖法(Photoplethysmography,PPG),屬於習知技術,因此於此處不再贅述。
It should be added that, after the
與第一實施例相同,該控制單元1a先由該初始血壓及該第一血壓頻率資訊推算出該血管阻抗,之後再由該血管阻抗及該第二血壓頻率資訊推算出該第二時間區間的該更新血壓,並由該血管阻抗及該第三血壓頻率資訊推算出該第三時間區間的該更新血壓。該控制單元1a取得該初始血壓及該更新血壓之後,將該初始血壓及該更新血壓傳送至該顯示單元4a顯示,同時,將該初始血壓及該更新血壓上傳至該醫院資訊系統B,方便後續醫療資訊的統計及分析。
Same as the first embodiment, the control unit 1a first calculates the blood vessel impedance from the initial blood pressure and the first blood pressure frequency information, and then calculates the second time interval from the blood vessel impedance and the second blood pressure frequency information. the updated blood pressure, and the updated blood pressure in the third time interval is calculated from the blood vessel impedance and the third blood pressure frequency information. After the control unit 1a obtains the initial blood pressure and the updated blood pressure, it transmits the initial blood pressure and the updated blood pressure to the
復請參閱第二圖及第十圖,藉由第一實施例與第二實施例的該接觸式偵測血壓裝置及該接觸式偵測血壓方法,無論是藉由該接觸式影像單元3取得的該連續影像,還是藉由該接觸式光單元5a取得的該反射光,該醫護人員僅需量測第一次的該初始血壓,後續的該更新血壓即可由該控制單元1,1a自動計算得到,無需該醫護人員頻繁量測,且該接觸式影像單元3的該影像擷取元件33,或該接觸式光單元5a的該光接收元件52a皆會接觸該人體A,在解決該醫護人員人力不足困境的同時,再提高該更新血壓的準確性。
Please refer to the second figure and the tenth figure again, by the contact type blood pressure detection device and the contact type blood pressure detection method of the first embodiment and the second embodiment, whether it is obtained by the contact
綜合上述實施例之說明,當可充分瞭解本發明之操作、使用及本發明產生之功效,惟以上所述實施例僅係為本發明之較佳實施例,當不能以此限定本發明實施之範圍,即依本發明申請專利範圍及發明說明內容所作簡單的等效變化與修飾,皆屬本發明涵蓋之範圍內。 Based on the descriptions of the above embodiments, one can fully understand the operation, use and effects of the present invention, but the above-mentioned embodiments are only preferred embodiments of the present invention, which should not limit the implementation of the present invention. Scope, that is, simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the contents of the description of the invention, all fall within the scope of the present invention.
1:控制單元 1: Control unit
2:血壓計 2: Sphygmomanometer
21:第一結合部 21: The first joint
22:第二結合部 22: The second joint
23:氣囊 23: Airbag
24:通訊器 24: Communicator
25:感測器 25: Sensor
3:接觸式影像單元 3: Contact image unit
31:第一板件 31: The first board
32:第二板件 32: Second board
35:夾持部 35: Clamping part
4:顯示單元 4: Display unit
Claims (9)
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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TW200808267A (en) * | 2006-08-15 | 2008-02-16 | Coretech Kuowledge Inc | Medical care supporting system |
JP2010279654A (en) * | 2009-06-08 | 2010-12-16 | Utsunomiya Univ | Specific blood pressure information generator |
TWM517597U (en) * | 2015-06-12 | 2016-02-21 | 麗臺科技股份有限公司 | Blood oxygen and electrocardiography measuring apparatus |
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TW200808267A (en) * | 2006-08-15 | 2008-02-16 | Coretech Kuowledge Inc | Medical care supporting system |
JP2010279654A (en) * | 2009-06-08 | 2010-12-16 | Utsunomiya Univ | Specific blood pressure information generator |
TWM517597U (en) * | 2015-06-12 | 2016-02-21 | 麗臺科技股份有限公司 | Blood oxygen and electrocardiography measuring apparatus |
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