TWM599628U - Sleep physiological system - Google Patents
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Abstract
本創作相關於一種睡眠生理系統,其透過採用分散式的硬體配置架構,使得在進行睡眠呼吸障礙評估以及執行睡眠姿勢訓練及/或睡眠生理回饋訓練時,可自由選擇符合需求的生理感測器,以取得適當的睡眠生理資訊,以及可自由選擇警示的種類及設置位置,有助於更確實的反應實際的睡眠生理狀況及提升訓練效果。 This creation is related to a sleep physiology system, which uses a decentralized hardware configuration architecture to make it possible to freely select physiological sensing that meets the needs when performing sleep breathing disorder assessment, sleep posture training and/or sleep physiological feedback training To obtain appropriate sleep physiological information, and to freely select the type and location of warnings, it helps to more accurately reflect the actual sleep physiological conditions and enhance the training effect.
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本創作涉及一種睡眠生理系統及睡眠警示方法,特別地是,涉及一種可評估及改善睡眠呼吸障礙的睡眠生理系統及睡眠警示方法。 This creation relates to a sleep physiological system and a sleep warning method, in particular, to a sleep physiological system and a sleep warning method that can assess and improve sleep disordered breathing.
睡眠呼吸暫停(Sleep Apnea)是一種睡眠呼吸障礙,其一般有三種類型:阻塞型睡眠呼吸暫停(Obstructive Sleep Apnea,OSA),中樞型睡眠呼吸暫停(Central Sleep Apnea,CSA),以及混合型睡眠呼吸暫停(Mixed Sleep Apnea,MSA)。 Sleep Apnea (Sleep Apnea) is a type of sleep breathing disorder, which generally has three types: Obstructive Sleep Apnea (OSA), Central Sleep Apnea (Central Sleep Apnea, CSA), and Mixed Sleep Apnea Pause (Mixed Sleep Apnea, MSA).
阻塞型睡眠呼吸暫停(OSA)之主要特徵為於睡眠期間,由於上呼吸道完全或局部阻塞而形成一段時間內呼吸氣流減少或中止之現象,而且,通常伴隨血氧濃度的飽和度下降(desaturation),OSA是一種常見的睡眠呼吸障礙,中年人口中約有25~40%受到影響。 The main feature of obstructive sleep apnea (OSA) is that during sleep, due to complete or partial obstruction of the upper airway, the respiratory airflow decreases or stops for a period of time, and it is usually accompanied by a decrease in blood oxygen concentration (desaturation) OSA is a common sleep-disordered breathing, affecting about 25-40% of the middle-aged population.
中樞型睡眠呼吸暫停(CSA)是因大腦驅動肌肉進行呼吸的機制出現問題所造成,使得呼吸肌肉的神經驅動出現短時間的停止,且這些從10秒到2至3分鐘不等的瞬變可能會持續整個晚上的時間,中樞型睡眠呼吸暫停,類似於阻塞型睡眠呼吸暫停,會在睡眠期間導致逐漸窒息,結果造成個體自睡眠中被短暫的喚醒(arousal),並同時恢復正常呼吸功能,且亦與阻塞型睡眠呼吸暫停類似的是,中樞型睡眠呼吸暫停可導致心律不整、高血壓、心臟病和心力衰竭等疾病。 Central sleep apnea (CSA) is caused by problems in the mechanism of the brain driving muscles to breathe, which makes the nerve drive of the breathing muscles stop for a short time, and these transients may range from 10 seconds to 2 to 3 minutes. Lasting throughout the night, central sleep apnea, similar to obstructive sleep apnea, will cause gradual asphyxia during sleep. As a result, the individual will be briefly aroused from sleep and resume normal breathing at the same time. And similar to obstructive sleep apnea, central sleep apnea can cause arrhythmia, high blood pressure, heart disease, and heart failure.
混合型睡眠呼吸暫停(MSA)是指阻塞型睡眠呼吸暫停以及中樞型睡眠呼吸暫停兩者混合出現的情形。 Mixed sleep apnea (MSA) refers to a situation where both obstructive sleep apnea and central sleep apnea are mixed.
呼吸暫停缺氧指數(Apnea Hypoxia Index,AHI)是睡眠呼吸暫停嚴重程度的一個指標,其結合了睡眠呼吸暫停(Apnea)和睡眠呼吸 低通氣(hypopnea)的數量,以給出可同時評估睡眠(呼吸)中斷次數以及氧飽和度程度(血氧水平)的一整體睡眠呼吸暫停嚴重程度評分,其中,AHI是通過將睡眠呼吸暫停和低通氣事件的總數除以睡眠小時數而計算獲得,通常AHI值分為,每小時5-15次為輕度,每小時15-30次為中度,每小時>30為重度。 Apnea Hypoxia Index (AHI) is an indicator of the severity of sleep apnea, which combines sleep apnea (Apnea) and sleep breathing The number of hypopneas (hypopnea) to give an overall sleep apnea severity score that can simultaneously evaluate the number of sleep (breathing) interruptions and the degree of oxygen saturation (blood oxygen level). Among them, AHI is a combination of sleep apnea and The total number of hypopnea events is divided by the number of hours of sleep. Usually, the AHI value is divided into 5-15 times per hour as mild, 15-30 times per hour as moderate, and >30 per hour as severe.
除了AHI之外,研究證實,評估或檢測睡眠呼吸暫停的另一個重要指標是氧減飽和度指數(Oxygen Desaturation Index,ODI),其是指睡眠期間每小時血中氧氣水平從基線下降一定程度的次數,一般而言,ODI的表示方式有,氧飽和下降3%的次數(ODI3%)以及氧飽和下降4%的次數(ODI4%)兩種,ODI與AHI不同的是,AHI還包括了可能引起睡眠喚醒(awaken)或覺醒(arousal),但並未影響氧氣水平的事件,而經研究證實,ODI與AHI以及睡眠呼吸暫停間有一定的相關性,可有效用於診斷OSA。 In addition to AHI, studies have confirmed that another important indicator for assessing or detecting sleep apnea is the oxygen desaturation index (Oxygen Desaturation Index, ODI), which refers to a certain degree of drop in blood oxygen level per hour from baseline during sleep. Generally speaking, ODI is expressed in two ways: the number of times oxygen saturation drops by 3% (ODI3%) and the number of times oxygen saturation drops by 4% (ODI4%). The difference between ODI and AHI is that AHI also includes possibilities An event that causes sleep arousal (awaken) or arousal (arousal), but does not affect oxygen levels. Research has confirmed that ODI has a certain correlation with AHI and sleep apnea, and can be effectively used to diagnose OSA.
另外,低氧水平也是可用來評估睡眠呼吸暫停所造成之影響的另一項指標,其是指血氧飽和度低於90%的時間總和與總監測時間之間的比。由於AHI以及ODI皆是以發生次數作為計算依據,因此可能無法準確反應持續出現低血氧水平卻未經常出現血氧起伏變化所造成的影響,而低氧水平則可彌補此方面的不足,故低氧水平與睡眠呼吸暫停間亦具有一定的相關性。 In addition, low oxygen level is also another indicator that can be used to evaluate the impact of sleep apnea, which refers to the ratio between the total time when the blood oxygen saturation is below 90% and the total monitoring time. Since both AHI and ODI are calculated based on the number of occurrences, they may not accurately reflect the effects of continuous low blood oxygen levels without frequent fluctuations in blood oxygen. Low oxygen levels can make up for this deficiency. There is also a certain correlation between low oxygen levels and sleep apnea.
大多數的OSA的患者在仰躺的睡姿時會產生更多的OSA事件,這是因為仰躺時上呼吸道更容易受重力影響而產生塌陷,在文獻中,正式被診斷為姿勢性OSA(Positional OSA,POSA)的依據是,AHI值於仰躺與非仰躺時的差值大於某一臨界值,例如,POSA其中一種常見的定義為,於仰躺時的AHI值大於非仰躺時的AHI值兩倍以上;由研究得知,POSA的普及率隨OSA之嚴重度增高而遞減,而70%~80%的POSA患者具輕度至中度的OSA的嚴重度,其中,亞洲的輕度OSA患者最高有87%可被歸類為POSA之患者。 Most OSA patients will have more OSA events when lying on their back. This is because the upper airway is more susceptible to gravity and collapse when lying on their back. In the literature, it is officially diagnosed as postural OSA ( Positional OSA, POSA) is based on the fact that the difference between the AHI value when lying on the back and when not lying on the back is greater than a certain threshold. For example, one of the common definitions of POSA is that the AHI value when lying on the back is greater than that when lying on the back. The AHI value is more than twice; According to research, the penetration rate of POSA decreases with the increase of OSA severity, and 70%~80% of POSA patients have mild to moderate OSA severity. Among them, Asian Up to 87% of patients with mild OSA can be classified as POSA patients.
另一種常見的睡眠呼吸障礙為打鼾,影響總人口中的20%~40%,此種產生噪音的症狀是由於睡眠時上呼吸道氣流通過時使得軟 組織發生振動而產生,OSA以及嚴重的打鼾已被研究證實與諸多的臨床症狀高度相關,如白天嗜睡,憂鬱症,高血壓之形成,缺血性心臟疾病,腦血管疾病等,而其中,打鼾為OSA中最常伴隨出現的症狀,並且打鼾也被普遍認為是OSA發生之前兆現象,基於兩者的成因都和上呼吸道狹窄的生理現象有關,睡眠姿勢也同樣的影響了打鼾症狀的嚴重度。 Another common sleep-disordered breathing is snoring, which affects 20%-40% of the total population. This type of noise-producing symptom is caused by the softness of the upper respiratory tract airflow during sleep. Occurred by tissue vibration, OSA and severe snoring have been proved to be highly correlated with many clinical symptoms, such as daytime sleepiness, depression, formation of high blood pressure, ischemic heart disease, cerebrovascular disease, etc. Among them, snoring It is the most common symptom that accompanies OSA, and snoring is also generally considered to be a precursor to OSA. Based on the fact that both causes are related to the physiological phenomenon of upper respiratory tract stenosis, sleeping posture also affects the severity of snoring symptoms. .
根據研究顯示,伴隨著上呼吸道狹窄程度的演進,通常的情況是,先產生與睡眠姿勢相關的打鼾症狀,更嚴重時則即使非仰躺時也開始容易發生打鼾,並開始發展成輕度的OSA,且打鼾的發生與睡眠姿勢的相關性逐漸下降,更進一步,OSA嚴重度也由與睡眠姿勢相關的輕度至中度,最後變成與睡眠姿勢較不相關的重度情形。 According to research, with the progression of upper respiratory tract stenosis, it is usually the case that snoring symptoms related to sleeping postures occur first, and when it is more serious, snoring is prone to occur even when not lying on your back, and begins to develop into a mild one. OSA, and the correlation between the occurrence of snoring and sleep posture has gradually decreased. Furthermore, the severity of OSA has also changed from mild to moderate related to sleep posture, and finally becomes a severe situation that is less related to sleep posture.
睡眠姿勢訓練(Sleep positional Training,SPT)是一種可治療姿勢性OSA及姿勢性打鼾的方法,近年已發展出新一代的姿勢訓練裝置,透過於身體的中軸,例如,頸部、胸部或腹部,設置姿勢感測器,例如,加速度器,並在偵測到使用者之睡姿為仰躺時,經由產生微弱的振動警示,而促使使用者改變睡姿以避免仰躺,經由許多的研究報告指出,透過這種簡單卻有效的治療方式,即可避免患者於睡眠中仰躺,進而大幅降低OSA事件的發生數量。 Sleep positional training (SPT) is a method that can treat postural OSA and postural snoring. In recent years, a new generation of posture training devices has been developed. Through the central axis of the body, such as the neck, chest or abdomen, Set up a posture sensor, such as an accelerometer, and when it detects that the user’s sleeping posture is lying on his back, it generates a weak vibration warning to prompt the user to change his sleeping posture to avoid lying on his back. According to many research reports It is pointed out that through this simple but effective treatment method, patients can be prevented from lying on their backs during sleep, thereby greatly reducing the number of OSA events.
只是,這樣的訓練方式尚有可改進的空間,例如,由於OSA或打鼾的患者有不同嚴重程度以及個體的生理差異性,故在進行訓練之前,若能提供評估功能,便能提供針對性的訓練方案以及有關訓練效果的預期資訊;此外,於睡眠姿勢訓練期間,若還能提供睡眠及呼吸等資訊,也將可藉此調整裝置的參數設定,以達到提高訓練效果的目的。 However, there is still room for improvement in such training methods. For example, because patients with OSA or snoring have different degrees of severity and individual physiological differences, before training, if an evaluation function can be provided, it can provide targeted Training programs and expected information about training effects; in addition, if sleep and breathing information can be provided during sleep posture training, the device's parameter settings can also be adjusted to achieve the purpose of improving training effects.
另外,除了姿勢訓練外,若可提供其他的訓練方式,例如,針對非姿勢性睡眠呼吸障礙,或是在姿勢訓練的基礎上再更進一步加強等,將會更有助益。 In addition, in addition to postural training, if other training methods can be provided, for example, for non-postural sleep-disordered breathing, or further strengthening based on postural training, it will be more helpful.
本創作的一目的在於提供一種睡眠生理系統,包括一睡眠警 示裝置,包括一第一穿戴結構,用以將該睡眠警示裝置被設置於一使用者身上,一第一控制單元,至少包括微控制器/微處理器,一第一無線通訊模組,電連接至該第一控制單元,一警示單元,電連接至該第一控制單元,用以對該使用者產生至少一警示,以及一電力模組;以及一睡眠生理裝置,包括一第二穿戴結構,用以將該睡眠生理裝置設置於該使用者身上,一第二控制單元,至少包括微控制器/微處理器,一第二無線通訊模組,電連接至該第二控制單元,一姿勢感測器,電連接至該第二控制單元,用以取得該使用者於睡眠期間的睡眠姿勢相關資訊,以及一電力模組,其中,該第一控制單元透過該第一無線通訊模組而接收基於該睡眠姿勢相關資訊的一數位訊號;該第一控制單元進一步被建構以產生一驅動訊號,且該警示單元在接收該驅動訊號後,產生該至少一警示,並將該至少一警示提供予該使用者;以及該驅動訊號實施為至少根據該睡眠姿勢相關資訊與一預設姿勢範圍進行比較後,該睡眠姿勢相關資訊符合該預設姿勢範圍時所決定的一警示行為而產生。 One purpose of this creation is to provide a sleep physiological system, including a sleep alert The display device includes a first wearable structure for placing the sleep warning device on a user, a first control unit, at least a microcontroller/microprocessor, a first wireless communication module, and Connected to the first control unit, a warning unit, electrically connected to the first control unit, for generating at least one warning to the user, and a power module; and a sleep physiology device including a second wearable structure , Used to install the sleep physiology device on the user, a second control unit, including at least a microcontroller/microprocessor, a second wireless communication module, electrically connected to the second control unit, and a posture The sensor is electrically connected to the second control unit to obtain information related to the sleeping posture of the user during sleep, and a power module, wherein the first control unit is connected to the first wireless communication module Receiving a digital signal based on the sleep posture related information; the first control unit is further configured to generate a driving signal, and the warning unit generates the at least one warning after receiving the driving signal, and provides the at least one warning To the user; and the driving signal is implemented to be generated based on at least a warning behavior determined when the sleeping posture related information matches the preset posture range after comparing the sleeping posture related information with a preset posture range.
本創作的另一目的在於提供上述睡眠生理系統中的該睡眠生理裝置。 Another purpose of this creation is to provide the sleep physiological device in the above sleep physiological system.
本創作的另一目的在於提供一種睡眠生理系統,包括一睡眠警示裝置,包括一第一穿戴結構,用以將該睡眠警示裝置設置於一使用者的身上,一第一控制單元,至少包括微控制器/微處理器,一第一無線通訊模組,電連接至該第一控制單元;一姿勢感測器,電連接至該第一控制單元,用以取得該使用者於睡眠期間的睡眠姿勢相關資訊,一警示單元,電連接至該第一控制單元,用以對該使用者產生至少一警示,以及一電力模組;以及一睡眠呼吸生理裝置,包括一第二穿戴結構,用以將該睡眠呼吸生理裝置設置於該使用者的身上,一第二控制單元,至少包括微控制器/微處理器;一第二無線通訊模組,電連接至該第二控制單元,一生理感測器,電連接至該第二控制單元,用以取得該使用者的至少一睡眠呼吸生理資訊,以及一電力模組,其中,該第一控制單元透過該第一無線通訊模組而接收基於該至少一睡眠呼吸生理資訊的一數位訊號;該第一控制單元進一 步被建構以產生一驅動訊號,且該警示單元在接收該驅動訊號後,產生該至少一警示,並將該至少一警示提供予該使用者;以及該驅動訊號實施為至少根據該睡眠姿勢相關資訊與一預設姿勢範圍進行比較後,且該睡眠姿勢相關資訊符合該預設姿勢範圍時,及/或根據該至少一睡眠呼吸生理資訊與一預設條件進行比較後,且該至少一睡眠呼吸生理資訊符合該預設條件時,所決定的一警示行為而產生。 Another purpose of the present creation is to provide a sleep physiological system, including a sleep warning device, including a first wearable structure for installing the sleep warning device on a user, a first control unit, at least including a micro Controller/microprocessor, a first wireless communication module, electrically connected to the first control unit; a posture sensor, electrically connected to the first control unit, for obtaining the user’s sleep during sleep Posture related information, a warning unit electrically connected to the first control unit for generating at least one warning to the user, and a power module; and a sleep-respiratory physiology device including a second wearable structure for The sleep-breathing physiological device is placed on the user, a second control unit includes at least a microcontroller/microprocessor; a second wireless communication module is electrically connected to the second control unit, and a physiological sensor The detector is electrically connected to the second control unit for obtaining at least one sleep-breathing physiological information of the user, and a power module, wherein the first control unit receives data based on the first wireless communication module A digital signal of the at least one sleep breathing physiological information; the first control unit further The step is constructed to generate a driving signal, and the warning unit generates the at least one warning after receiving the driving signal, and provides the at least one warning to the user; and the driving signal is implemented at least according to the sleeping posture After the information is compared with a preset posture range, and the sleep posture related information matches the preset posture range, and/or after comparing the at least one sleep breathing physiological information with a preset condition, and the at least one sleep When the respiratory physiological information meets the preset condition, a warning behavior is determined.
本創作的另一目的在於提供上述睡眠生理系統中的該睡眠警示裝置。 Another purpose of this creation is to provide the sleep warning device in the above sleep physiological system.
本創作的另一目的在於提供一種睡眠生理系統,包括一睡眠警示裝置,包括一第一穿戴結構,用以將該睡眠警示裝置設置於一使用者的身上,一第一控制單元,至少包括微控制器/微處理器,一第一無線通訊模組,電連接至該第一控制單元,一警示單元,電連接至該第一控制單元,用以對該使用者產生至少一警示,以及一電力模組;以及一睡眠呼吸生理裝置,包括一第二穿戴結構,用以將該睡眠呼吸生理裝置設置於該使用者的身上,一第二控制單元,至少包括微控制器/微處理器,一第二無線通訊模組,電連接至該第二控制單元;一生理感測器,電連接至該第二控制單元,用以取得該使用者的至少一睡眠呼吸生理資訊,以及一電力模組,其中,該第一穿戴結構實施為一腕戴結構,以將該睡眠警示裝置設置於該使用者的一腕部,以及該至少一警示實施為觸覺警示,以及其中,該第一控制單元透過該第一無線通訊模組而接收基於該至少一睡眠呼吸生理資訊的一數位訊號;該第一控制單元進一步被建構以產生一驅動訊號,且該警示單元在接收該驅動訊號後,產生該至少一警示,並將該至少一警示提供予該使用者;以及該驅動訊號實施為根據以該至少一睡眠呼吸生理資訊為基礎而取得的至少一睡眠呼吸事件所決定的一警示行為而產生。 Another purpose of the present creation is to provide a sleep physiological system, including a sleep warning device, including a first wearable structure for installing the sleep warning device on a user, a first control unit, at least including a micro The controller/microprocessor, a first wireless communication module, electrically connected to the first control unit, a warning unit, electrically connected to the first control unit, for generating at least one warning for the user, and a A power module; and a sleep breathing physiology device, including a second wearable structure for setting the sleep breathing physiology device on the user's body, a second control unit, including at least a microcontroller/microprocessor, A second wireless communication module is electrically connected to the second control unit; a physiological sensor is electrically connected to the second control unit for obtaining at least one sleep-respiratory physiological information of the user, and a power module Set, wherein the first wearing structure is implemented as a wrist-worn structure to install the sleep warning device on a wrist of the user, and the at least one warning is implemented as a tactile warning, and wherein, the first control unit A digital signal based on the at least one sleep breathing physiological information is received through the first wireless communication module; the first control unit is further constructed to generate a driving signal, and the warning unit generates the driving signal after receiving the driving signal At least one warning, and providing the at least one warning to the user; and the driving signal is implemented as a warning behavior determined based on at least one sleep breathing event obtained based on the at least one sleep breathing physiological information.
本創作的另一目的在於提供上述睡眠生理系統中的該睡眠呼吸生理裝置。 Another purpose of this creation is to provide the sleep breathing physiological device in the above sleep physiological system.
本創作的另一目的在於提供一種睡眠生理系統,包括:一第一睡眠生理裝置,包括一第一穿戴結構,用以將該第一睡眠生理裝置設置 於一使用者的一第一身體部分,一第一控制單元,至少包括微控制器/微處理器,一第一無線通訊模組,電連接至該第一控制單元,一第一生理感測器,電連接至該第一控制單元,以及一電力模組;以及一第二睡眠生理裝置,包括一第二穿戴結構,用以將該第二睡眠生理裝置設置於該使用者的一第二身體部分,一第二控制單元,至少包括微控制器/微處理器,一第二無線通訊模組,電連接至該第二控制單元,一第二生理感測器,電連接至該第二控制單元,以及一電力模組,其中,在該使用者的睡眠期間,該第一生理感測器被建構以取得至少一第一睡眠生理資訊,以及該第二生理感測器被建構以取得至少一第二睡眠生理資訊;以及其中,該系統更包括至少一警示單元,用以接收至少一驅動訊號,以及在接收該至少一驅動訊號後,產生至少一警示,並將該至少一警示提供予該使用者,其中,該至少一驅動訊號實施為至少根據該至少一第一睡眠生理資訊及/或該至少一第二睡眠生理資訊所決定的至少一警示行為而產生;以及該系統更包括一資訊提供介面,用以將該第一睡眠生理資訊,該第二睡眠生理資訊,及/或該至少一警示行為提供予該使用者。 Another purpose of this creation is to provide a sleep physiology system, including: a first sleep physiology device, including a first wearable structure for setting the first sleep physiology device On a first body part of a user, a first control unit, including at least a microcontroller/microprocessor, a first wireless communication module, electrically connected to the first control unit, and a first physiological sensor The device is electrically connected to the first control unit and a power module; and a second sleep physiology device, including a second wearable structure, for setting the second sleep physiology device on a second of the user The body part, a second control unit, including at least a microcontroller/microprocessor, a second wireless communication module, electrically connected to the second control unit, and a second physiological sensor, electrically connected to the second A control unit and a power module, wherein, during the sleep of the user, the first physiological sensor is constructed to obtain at least one first sleep physiological information, and the second physiological sensor is constructed to obtain At least one second sleep physiological information; and wherein, the system further includes at least one warning unit for receiving at least one driving signal, and generating at least one warning after receiving the at least one driving signal, and providing the at least one warning To the user, wherein the at least one driving signal is implemented to be generated at least according to at least one warning behavior determined by the at least one first sleep physiological information and/or the at least one second sleep physiological information; and the system further includes An information providing interface is used to provide the first sleep physiological information, the second sleep physiological information, and/or the at least one warning behavior to the user.
本創作的另一目的在於提供上述睡眠生理系統中的該第一睡眠生理裝置以及該第二睡眠生理裝置的其中之一。 Another purpose of the present creation is to provide one of the first sleep physiological device and the second sleep physiological device in the sleep physiological system.
本創作的另一目的在於提供一種睡眠生理系統,包括一睡眠生理裝置,包括一第一穿戴結構,用以將該睡眠生理裝置設置於一使用者的身上,一第一控制單元,至少包括微控制器/微處理器,一第一通訊模組,電連接至該第一控制單元,一姿勢感測器,電連接至該第一控制單元,用以取得該使用者於一睡眠期間的睡眠姿勢相關資訊,以及一電力模組,以及一睡眠呼吸生理裝置,包括一第二穿戴結構,用以將該睡眠呼吸生理裝置設置於該使用者的身上,一第二控制單元,至少包括微控制器/微處理器,一第二通訊模組,電連接至該第二控制單元,一生理感測器,電連接至該第二控制單元,用以取得該使用者於該睡眠期間的至少一睡眠呼吸生理資訊,以及一電力模組,其中,該系統被建構以根據該至少一睡眠呼吸生理資訊而決定該使用者於該睡眠期間的一睡眠呼吸事件;以及該系統進一步 被建構以決定在該睡眠姿勢相關資訊符合一預設睡眠姿勢範圍時,以及在該睡眠姿勢相關資訊超出該預設睡眠姿勢範圍時,該睡眠呼吸事件的分布,並據以產生一睡眠呼吸事件姿勢相關性資訊;以及其中,該系統更包括一資訊提供介面,用以將該睡眠呼吸事件姿勢相關性資訊提供予該使用者。 Another purpose of the present creation is to provide a sleep physiology system, including a sleep physiology device, including a first wearable structure for setting the sleep physiology device on a user's body, and a first control unit including at least a micro The controller/microprocessor, a first communication module, electrically connected to the first control unit, and a posture sensor, electrically connected to the first control unit, for obtaining the user's sleep during a sleep period Posture related information, a power module, and a sleep-respiratory physiology device, including a second wearable structure for setting the sleep-respiration physiology device on the user's body, and a second control unit including at least a micro-control The device/microprocessor, a second communication module, electrically connected to the second control unit, and a physiological sensor, electrically connected to the second control unit, for obtaining at least one information of the user during the sleep period Sleep breathing physiological information, and a power module, wherein the system is constructed to determine a sleep breathing event of the user during sleep according to the at least one sleep breathing physiological information; and the system further It is constructed to determine the distribution of the sleep breathing event when the sleep posture-related information meets a preset sleep posture range and when the sleep posture-related information exceeds the preset sleep posture range, and generate a sleep respiration event accordingly Posture related information; and wherein, the system further includes an information providing interface for providing the posture related information of the sleep breathing event to the user.
本創作的另一目的在於提供上述睡眠生理系統中的該睡眠生理裝置。 Another purpose of this creation is to provide the sleep physiological device in the above sleep physiological system.
本創作的另一目的在於提供一種睡眠生理系統,包括一睡眠警示裝置,包括一第一穿戴結構,用以將該睡眠警示裝置設置於一使用者的身上,一第一控制單元,至少包括微控制器/微處理器,一第一通訊模組,電連接至該第一控制單元,一姿勢感測器,電連接至該第一控制單元,用以取得該使用者於睡眠期間的睡眠姿勢相關資訊,一警示單元,電連接至該第一控制單元,用以對該使用者產生至少一警示,以及一電力模組,以及一睡眠呼吸生理裝置,包括一第二穿戴結構,用以將該睡眠呼吸生理裝置設置於該使用者身上,一第二控制單元,至少包括微控制器/微處理器,一第二通訊模組,電連接至該第二控制單元,一光感測器,電連接至該第二控制單元,用以取得該使用者的一血液生理資訊,以及一電力模組,其中,該系統根據該血液生理資訊而取得該使用者於睡眠期間的至少一睡眠呼吸生理資訊;該第一控制單元被建構以產生一驅動訊號,且該警示單元在接收該驅動訊號後,產生該至少一警示,並將該至少一警示提供予該使用者;以及該驅動訊號實施為至少根據該睡眠姿勢相關資訊與一預設姿勢範圍進行比較後,該睡眠姿勢相關資訊符合該預設姿勢範圍時所決定的一警示行為而產生;以及其中,該系統更包括一資訊提供介面,用以至少將該至少一睡眠呼吸生理資訊提供予該使用者。 Another purpose of the present creation is to provide a sleep physiological system, including a sleep warning device, including a first wearable structure for installing the sleep warning device on a user, a first control unit, at least including a micro Controller/microprocessor, a first communication module, electrically connected to the first control unit, and a posture sensor, electrically connected to the first control unit, for obtaining the sleeping posture of the user during sleep Related information, a warning unit, electrically connected to the first control unit, for generating at least one warning for the user, a power module, and a sleep breathing physiology device, including a second wearable structure, The sleep-breathing physiology device is arranged on the user, and a second control unit includes at least a microcontroller/microprocessor, a second communication module, and is electrically connected to the second control unit and a light sensor. Electrically connected to the second control unit for obtaining a blood physiological information of the user and a power module, wherein the system obtains at least one sleep respiratory physiological information of the user during sleep based on the blood physiological information Information; the first control unit is constructed to generate a driving signal, and the warning unit generates the at least one warning after receiving the driving signal, and provides the at least one warning to the user; and the driving signal is implemented as At least after comparing the sleep posture related information with a preset posture range, the sleep posture related information is generated when a warning behavior is determined when the sleep posture range matches the preset posture range; and wherein, the system further includes an information providing interface, It is used to provide at least the at least one sleep breathing physiological information to the user.
本創作的另一目的在於提供上述睡眠生理系統中的該睡眠警示裝置。 Another purpose of this creation is to provide the sleep warning device in the above sleep physiological system.
100:睡眠生理系統 100: Sleep physiological system
200:頭頂區域 200: overhead area
201:額頭區域 201: Forehead area
202:耳朵區域 202: ear area
203:口鼻區域 203: snout area
204:下頦區域 204: chin area
205:頸部區域 205: neck area
206:胸部區域 206: Chest area
207:腹部區域 207: Abdominal area
208:手臂區域 208: Arm area
209:手指區域 209: finger area
210:頭部區域 210: head area
211:腳部區域 211: Foot area
300:軟體程式 300: Software program
301、303、304、305、307、309、312、314、315、315:步驟 301, 303, 304, 305, 307, 309, 312, 314, 315, 315: steps
317:歷史睡眠呼吸事件基線數據 317: Baseline data of historical sleep breathing events
318:使用者或執業醫師手動輸入 318: Manual input by user or medical practitioner
402、405、410、415、418、425、430、440:步驟 402, 405, 410, 415, 418, 425, 430, 440: steps
502、505、510、515、518、525、530、540:步驟 502, 505, 510, 515, 518, 525, 530, 540: steps
801:殼體 801: Shell
802:呼吸氣流感測器 802: Breathing flu detector
901:下頦帶 901: chin strap
902:口部定位貼合件 902: Oral positioning fitting
903:頭戴結構 903: Headwear structure
圖1顯示根據本案睡眠生理裝置的電路示意圖; Figure 1 shows a schematic circuit diagram of the sleep physiology device according to this case;
圖2顯示根據本案生理感測器設置位置分布圖; Figure 2 shows the location distribution diagram of the physiological sensors according to this case;
圖3顯示本案改善睡眠呼吸暫停方法的可能流程圖; Figure 3 shows a possible flow chart of the method for improving sleep apnea in this case;
圖4顯示本案評估睡眠姿勢與打鼾間關係的主要步驟; Figure 4 shows the main steps in this case to assess the relationship between sleep posture and snoring;
圖5顯示本案評估睡眠姿勢與睡眠呼吸暫停/低通氣間關係的主要步驟; Figure 5 shows the main steps in this case to assess the relationship between sleep posture and sleep apnea/hypopnea;
圖6顯示PPG訊號及其時域特徵; Figure 6 shows the PPG signal and its time domain characteristics;
圖7顯示根據一較佳實施例,執行睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的流程圖; FIG. 7 shows a flowchart of performing sleep posture training and/or sleep breathing physiological feedback training according to a preferred embodiment;
圖8顯示根據一較佳實施例,生理感測器實施為呼吸氣流感測器並設置於口鼻之間的示意圖; FIG. 8 shows a schematic diagram of the physiological sensor implemented as a breathing air flu sensor and arranged between the nose and mouth according to a preferred embodiment;
圖9顯示根據本案之睡眠生理系統中,殼體可根據需求不同而與不同穿戴結構結合的示意圖; FIG. 9 shows a schematic diagram of the sleep physiological system according to the present case in which the shell can be combined with different wearing structures according to different needs;
圖10A-10B顯示口部閉合輔助件的實施可能;以及 Figures 10A-10B show the implementation possibilities of the mouth closure aid; and
圖10C-10E顯示下頦帶與頭戴結構相結合的實施可能。 Figures 10C-10E show the possibility of combining the chin strap and the headwear structure.
圖1舉例說明根據本案睡眠生理系統100的一電路示意圖,其中,同個裝置中所有元件皆連接至裝置內的控制單元,其中,該控制單元包含至少一微控制器/微處理器,並預載有程式,以掌控硬體元件之間的溝通,該控制單元可達成不同硬體元件與連接至裝置及/或系統的外部應用程式/外部裝置間的訊號傳輸,並且,其亦讓裝置的行為可進行編程,以回應不同的操作情況,以及該微控制器/微處理器亦會利用內部計時器(未顯示)來產生時間戳記或時差、或用來控制操作。
Figure 1 illustrates a schematic circuit diagram of the
另外,該控制單元至少還會包括用以達成生理訊號取得的類比前端(AFE)電路,以執行,例如,類比數位轉換,放大,濾波,以及本領域具通常知識者所熟知的其他各種訊號處理程序,由於此些皆為習知的內容,故不贅述。 In addition, the control unit also includes at least an analog front end (AFE) circuit for obtaining physiological signals to perform, for example, analog-to-digital conversion, amplification, filtering, and various other signal processing known to those with ordinary knowledge in the art The procedures, since these are all known content, so I won't repeat them.
該系統可包括光感測器,本案中,光感測器是指同時具有發光源,例如,LED,以及光檢測器,例如,光電二極體(photodiode),的 感測器,且正如所熟知,其是利用PPG(photoplethysmography,光體積變化描記圖)原理,透過發光源發出光線進入人體組織,且光檢測器會接收穿透血管中血液、或經血液反射的光線,之後,再透過取得光線因血液所發生的容積變化而可獲得血液生理訊號,故一般稱由光感測器所取得的血液生理訊號為PPG訊號,其中,PPG訊號會包括快速移動分量(AC Component,AC分量),反應透過動脈傳送之心肌收縮所產生的脈波,以及慢速移動分量(DC Component,DC分量),反應組織血液體積的較慢變化,例如,呼吸動作(Respiratory Effort)(亦即,呼吸期間胸腹的擴張收縮動作),交感及副交感神經活動所造成的影響;另外,透過分析PPG訊號也可獲得相關血管硬度以及血壓等生理資訊;再者,經生理實驗得知,PPG脈波在經頻域分析後可得各臟腑與心率產生諧波共振的情形,因而可將此脈波心率諧波共振分布應用於中醫的診斷以及人體血液循環的監測,例如,肝及肝經與心跳頻率之第一諧波相關,腎及腎經與心跳頻率之第二諧波相關,脾及脾經心跳頻率之第三諧波相關,肺及肺經心跳頻率之第四諧波相關,以及胃及胃經心跳頻率之第五諧波相關。 The system may include a light sensor. In this case, a light sensor refers to a light-emitting source, such as an LED, and a light detector, such as a photodiode. The sensor, as well known, uses the principle of PPG (photoplethysmography) to emit light into human tissues through a light-emitting source, and the photodetector receives the blood that penetrates the blood vessel or is reflected by the blood. Light, and then obtain blood physiological signals by obtaining the volume changes of the blood due to the light. Therefore, the blood physiological signals obtained by the light sensor are generally called PPG signals, and the PPG signals include fast-moving components ( AC Component, which reflects the pulse wave generated by myocardial contraction transmitted through the artery, and the slow-moving component (DC Component, DC component), which reflects the slower changes in tissue blood volume, for example, breathing action (Respiratory Effort) (That is, the expansion and contraction of the chest and abdomen during breathing), the influence caused by sympathetic and parasympathetic nerve activity; in addition, physiological information such as blood vessel hardness and blood pressure can also be obtained by analyzing the PPG signal; in addition, it is learned through physiological experiments The PPG pulse wave can be analyzed in the frequency domain to obtain the harmonic resonance between the organs and the heart rate. Therefore, this pulse wave heart rate harmonic resonance distribution can be applied to the diagnosis of Chinese medicine and the monitoring of human blood circulation, such as liver and The liver meridian is related to the first harmonic of the heartbeat frequency, the kidney and kidney meridians are related to the second harmonic of the heartbeat frequency, the spleen and spleen meridians are related to the third harmonic of the heartbeat frequency, and the lungs and lungs are related to the fourth harmonic of the heartbeat frequency. Correlation, and the fifth harmonic of the heartbeat frequency of the stomach and stomach meridians.
一般而言,根據光感測器所包含發光源以及光檢測器之種類以及數量的不同,可取得的血液生理資訊亦有所不同,舉例而言,該光感測器可包括至少一發光源,例如,LED或多個LED,較佳地是,綠光/紅外光/紅光,以及至少一光檢測器,以取得脈搏速率/心率以及呼吸動作等血液生理資訊;其中,在測量脈搏速率/心率時,綠光以及波長在綠光以下的可見光,例如,藍光、白光,是當前測量心率的主要使用光源,且主要著重在AC分量部分的解讀,另外,有關呼吸動作對於血液的影響則是,當一個人呼吸時,胸部空腔內的壓力(所謂的胸內壓)會隨著每次呼吸改變,其中,吸氣時,胸腔會擴張而造成胸內壓減少,因而將空氣抽進肺部,在呼氣期間,胸內壓增加並迫使空氣排出肺部,這些胸內壓的改變亦會造成經由靜脈回到心臟之血液量以及心臟打入動脈之血液量的改變,而此部分的改變可藉由分析PPG訊號的DC分量而得知,而在本文中,藉由分析PPG波形所獲得的呼吸資訊即稱之為低頻呼吸行為;此外,由於心率是受自律神 經所控制,故呼吸會因對自律神經系統產生影響而使得心跳出現變化,也就是,所謂的竇性心律不整(Respiratory Sinus Arrhythmia,RSA),一般而言,吸氣期間會使心跳加速,而呼氣期間則使心跳減緩,故也可藉由觀察心率而得知呼吸變化,在本文中,將此稱之為RSA呼吸行為;故經由光感測器所取得的呼吸資訊統稱為呼吸行為。 Generally speaking, the blood physiological information that can be obtained varies according to the type and quantity of light-emitting sources and light detectors included in the light sensor. For example, the light sensor may include at least one light-emitting source For example, an LED or a plurality of LEDs, preferably, green light/infrared light/red light, and at least one light detector to obtain blood physiological information such as pulse rate/heart rate and breathing movement; wherein, the pulse rate is measured /At heart rate, green light and visible light with a wavelength below green, such as blue light and white light, are currently the main light sources used for heart rate measurement, and the main emphasis is on the interpretation of the AC component. In addition, the impact of breathing on the blood Yes, when a person breathes, the pressure in the chest cavity (the so-called intrathoracic pressure) changes with each breath. When inhaling, the chest cavity expands and the intrathoracic pressure decreases, thus drawing air into the lungs. During exhalation, the intrathoracic pressure increases and forces air out of the lungs. These changes in intrathoracic pressure will also cause changes in the amount of blood returning to the heart through the veins and the amount of blood entering the arteries from the heart. The change can be known by analyzing the DC component of the PPG signal. In this article, the breathing information obtained by analyzing the PPG waveform is called low-frequency breathing behavior; in addition, since the heart rate is affected by the autonomic spirit It is controlled, so breathing will affect the autonomic nervous system and cause changes in the heartbeat, that is, the so-called sinus arrhythmia (Respiratory Sinus Arrhythmia, RSA), generally speaking, the heartbeat will accelerate during inhalation, and During exhalation, the heartbeat slows down, so the breathing changes can also be learned by observing the heart rate. In this article, this is called RSA breathing behavior; therefore, the breathing information obtained through the light sensor is collectively called breathing behavior.
或者,該光感測器也可包括至少二發光源,例如,多個LED,較佳地是,綠光/紅外光/紅光,以及至少一光檢測器,以取得血氧濃度(SPO2),脈搏速率/心率,以及呼吸動作等血液生理資訊,其中,測量血氧濃度時,需要兩個不同波長的光射入組織中,利用血液中含氧血紅素(HbO2)以及非含氧血紅素(Hb)對兩種波長的光有不同的吸收程度,而在接收經穿透、反射的光後,兩者比較的結果可決定血氧濃度,因此,血氧濃度的測量通常對於光感測器的設置位置有較多的限制,以光線能確實打入動脈中的位置為佳,例如,手指,手掌內面,腳趾,腳掌等,尤其測量嬰兒之血氧濃度時經常利用腳趾/腳掌,而兩種不同波長則可為,例如,紅光以及紅外光,或是兩種波長的綠光,如波長分別為560nm以及577nm的綠光,因此,可依需求而選用合適的光源,沒有限制。 Alternatively, the light sensor may also include at least two light-emitting sources, for example, a plurality of LEDs, preferably, green light/infrared light/red light, and at least one light detector to obtain the blood oxygen concentration (SPO2) Physiological information of blood, pulse rate/heart rate, and breathing movement, among which, when measuring blood oxygen concentration, two different wavelengths of light are required to enter the tissues, using oxygenated heme (HbO2) and non-oxygenated heme in the blood (Hb) has different absorption levels for two wavelengths of light, and after receiving the transmitted and reflected light, the result of the comparison between the two can determine the blood oxygen concentration. Therefore, the measurement of blood oxygen concentration is usually for light sensing There are more restrictions on the setting position of the device. The position where light can actually penetrate into the artery is better, for example, fingers, palm inner surface, toe, sole, etc., especially when measuring infant’s blood oxygen concentration, toes/soles are often used. The two different wavelengths can be, for example, red light and infrared light, or two wavelengths of green light, such as green light with wavelengths of 560nm and 577nm respectively. Therefore, suitable light sources can be selected according to requirements without limitation. .
上述各種光源的波長範圍為,紅光波長約介於620nm至750nm之間,紅外光波長約大於750nm,以及綠光波長約介於495nm至580nm之間,而用於進行測量時,通常採用,舉例而言,紅光波長660nm,紅外光波長895nm、880nm、905nm或940nm,以及綠光波長510~560nm或577nm,然而,需注意地是,在實際使用時,根據使用目的的不同,也可採用其他波長的光源,例如,當只欲取得心率時,波長小於綠光的其他可見光源,亦即,波長小於580nm的可見光,例如,藍光,亦是選擇之一,而且,除了利用特定波長的單光源之外,也可使用包含該波長的複合光源,例如,白光。 The wavelength range of the above-mentioned various light sources is that the wavelength of red light is approximately between 620nm and 750nm, the wavelength of infrared light is approximately greater than 750nm, and the wavelength of green light is approximately between 495nm and 580nm. When used for measurement, it is usually used, For example, the wavelength of red light is 660nm, the wavelength of infrared light is 895nm, 880nm, 905nm or 940nm, and the wavelength of green light is 510~560nm or 577nm. However, it should be noted that in actual use, depending on the purpose of use, it can also be used. The use of light sources of other wavelengths, for example, when you only want to obtain the heart rate, other visible light sources with a wavelength less than green light, that is, visible light with a wavelength less than 580nm, such as blue light, is also one of the options, and, in addition to using specific wavelengths In addition to a single light source, a composite light source containing this wavelength, for example, white light, can also be used.
舉例而言,特別地是,可同時具有三種波長的光源,例如,在一實施例中,第一發光源實施為紅外光源產生第一波長的光,第二發光源實施為紅光源產生第二波長的光,以及第三發光源實施為綠光源產生第 三波長的光,其中,紅外光源以及紅光源用來取得血氧濃度,以及綠光源用來取得心率;或者,在另一實施例中,第一波長以及第二波長的光實施為綠光,以及第三波長的光實施為紅外光或紅光等,可利用其中兩個波長取得血氧濃度,以及另一個波長取得心率;或者,在另一實施例中,第一波長、第二波長、以及第三波長的光皆實施為綠光,可利用其中兩個波長的綠光取得血氧濃度,以及另一個波長的綠光取得心率,而由於,如前所示,身體不同部位可取得血液生理資訊的種類不同,因此,同時具備可產生多種波長的光源將有助於達成透過同一個裝置移動至不同身體部位而取得各種所需血液生理資訊的目的,例如,在需要取得血氧濃度時,將裝置移至光線可打入動脈的位置,而需要取得心率或其他血液生理資訊時,則只要有血管的位置皆可。因此,沒有限制。 For example, in particular, light sources of three wavelengths may be simultaneously available. For example, in one embodiment, the first light source is implemented as an infrared light source to generate light of the first wavelength, and the second light source is implemented as a red light source to generate light of the second wavelength. Wavelength of light, and the third light source is implemented as a green light source to produce the first Three-wavelength light, where the infrared light source and the red light source are used to obtain the blood oxygen concentration, and the green light source is used to obtain the heart rate; or, in another embodiment, the light of the first wavelength and the second wavelength are implemented as green light, And the light of the third wavelength is implemented as infrared light or red light. Two of the wavelengths can be used to obtain the blood oxygen concentration and the other wavelength to obtain the heart rate; or, in another embodiment, the first wavelength, the second wavelength, And the third wavelength of light is implemented as green light. Two of the wavelengths of green light can be used to obtain blood oxygen concentration, and the other wavelength of green light can be used to obtain heart rate. As shown above, blood can be obtained from different parts of the body. There are different types of physiological information. Therefore, having a light source that can generate multiple wavelengths at the same time will help achieve the purpose of obtaining various required blood physiological information by moving to different body parts through the same device, for example, when the blood oxygen concentration is needed , Move the device to a position where light can penetrate the artery, and when you need to obtain heart rate or other blood physiological information, you can just have a blood vessel. Therefore, there is no limit.
再者,在取得心率時,為了消除雜訊,例如,環境雜訊,穿戴期間身體動作所產生的雜訊等,也可設置複數個光源(且波長不限,可皆為綠光,也可利用其他波長的光源),並透過將不同光源所取得的PPG訊號間,透過數位訊號處理,如適應性濾波器(Adaptive Filter)或彼此相減等計算而達到消除雜訊的目的,故沒有限制。 Furthermore, when obtaining the heart rate, in order to eliminate noise, such as environmental noise, noise generated by body movements during wearing, etc., multiple light sources can also be set (and the wavelength is not limited, all of which can be green or Use other wavelengths of light source), and through the PPG signals obtained from different light sources, through digital signal processing, such as adaptive filter (Adaptive Filter) or mutual subtraction calculations to achieve the purpose of eliminating noise, so there is no limit .
該系統可包括一姿勢感測器,通常採用加速度器,其中較佳地是,三軸(MEMS)加速度器,其可定義裝置於三度空間的姿勢,且會直接相關於使用者的睡眠姿勢,其中,該加速度器會回傳於所有x,y,z三個維度方向中所測得的加速度數值,而根據這些數值,除了睡眠姿勢外,還可衍生而得許多其他睡眠資訊,例如,身體活動(actigraph)、移動、站立/躺下的姿勢變化等,其中,經由分析睡眠期間的身體活動,還可進一步獲得相關睡眠階段/狀態的資訊;另外,也可使用其他種類的加速度器,例如,陀螺儀,磁力計等。 The system may include a posture sensor, usually an accelerometer, preferably a three-axis (MEMS) accelerometer, which can define the posture of the device in a three-dimensional space and is directly related to the user’s sleeping posture , Among them, the accelerometer will return the acceleration values measured in all three dimensions of x, y, and z. Based on these values, in addition to the sleeping posture, many other sleep information can be derived, for example, Physical activity (actigraph), movement, standing/lying posture changes, etc., in which, by analyzing physical activity during sleep, you can further obtain information about sleep stages/states; in addition, other types of accelerometers can also be used, For example, gyroscope, magnetometer, etc.
該系統可包括一麥克風,該麥克風會回報所測得聲音的頻率及振幅,而利用聲能轉換器(acoustic transducer)適當的濾波設計可偵測睡眠中的聲音,例如,鼾聲或呼吸聲等。 The system may include a microphone, which reports the frequency and amplitude of the measured sound, and uses an acoustic transducer with appropriate filtering design to detect sleep sounds, such as snoring or breathing.
該系統可包括一打鼾偵測器,其可實施為透過上述的麥克風 進行聲音偵測,也可實施為偵測打鼾所造成的體腔振動,可使用加速度器、或壓電振動感測器等,測得的位置包括,例如,軀幹,頸部,頭部,耳朵等,其中,軀幹及頭部是較佳的取得位置,尤其鼻腔、喉部、胸腔等特別能夠良好地傳遞因打鼾所產生的振動,是十分具有優勢的選擇,另外,相較於偵測聲音,偵測振動可不受環境雜音干擾,也可在身上具覆蓋物,例如,棉被,的情形下進行偵測,應用範圍更廣;也因此,作為姿勢感測器的加速度器,也可同時被用來取得打鼾相關資訊,更添使用方便性。再者,打鼾相關資訊,例如,強度,持續時間,次數等,則是藉由利用適當的濾波設計及已知的技術而自原始的振動訊號中獲得,且由於不同感測器所取得的訊號種類及取得方式皆不同,故應對應地採用不同的適當濾波設計。 The system can include a snoring detector, which can be implemented through the aforementioned microphone Sound detection can also be implemented to detect body cavity vibration caused by snoring. Accelerometers or piezoelectric vibration sensors can be used. The measured positions include, for example, torso, neck, head, ears, etc. Among them, the torso and head are better positions, especially the nasal cavity, throat, chest cavity, etc., which can transmit the vibration caused by snoring well, which is a very advantageous choice. In addition, compared to detecting sound, Vibration detection can not be disturbed by environmental noise, and it can also be detected under the condition of covering the body, such as a quilt, which has a wider application range; therefore, the accelerometer as a posture sensor can also be detected at the same time. It is used to obtain information about snoring and make it more convenient to use. Furthermore, snoring-related information, such as intensity, duration, number of times, etc., is obtained from the original vibration signal by using appropriate filter design and known techniques, and is due to the signals obtained by different sensors The types and acquisition methods are different, so different appropriate filter designs should be adopted accordingly.
該系統可包括一溫度感測器,以偵測裝置溫度、環境溫度、或身體溫度,以提供睡眠期間使用者的進一步生理資訊。 The system may include a temperature sensor to detect device temperature, ambient temperature, or body temperature to provide further physiological information of the user during sleep.
該系統可包括一呼吸氣流感測器,例如,熱敏電阻,熱電耦,或呼吸氣流管,設置於口鼻之間,以取得呼吸氣流的變化,其中,熱敏電阻及熱電耦可選擇於鼻孔附近設置二個偵測點,也可選擇於鼻孔附近及口部附近設置三個偵測點,皆為可行。 The system may include a respiratory air flu detector, such as a thermistor, thermocouple, or respiratory airflow tube, which is arranged between the mouth and nose to obtain changes in respiratory airflow. Among them, the thermistor and thermocouple can be selected in It is feasible to set two detection points near the nostrils, or choose to set three detection points near the nostrils and near the mouth.
該系統可包括一加速度器,其可設置於軀幹上取得呼吸動作中胸部及/或腹部起伏所產生的加速及減速;也可用來偵測血液脈動所產生的血管脈動,以取得心率,且取得位置不限,例如,頭部、胸部、上肢等皆為可取得的位置。 The system can include an accelerometer, which can be set on the torso to obtain the acceleration and deceleration caused by the chest and/or abdomen undulations during the breathing movement; it can also be used to detect the blood vessel pulse generated by the blood pulse to obtain the heart rate and obtain The position is not limited, for example, the head, chest, upper limbs, etc. are all available positions.
該系統可包括至少二阻抗偵測電極,設置於軀幹,以取得呼吸動作所造成的阻抗變化。 The system may include at least two impedance detection electrodes, which are arranged on the trunk to obtain impedance changes caused by breathing.
該系統可包括壓電動作感測器,設置於軀幹,其是藉由呼吸動作會施力於壓電動作感測器上而取得訊號,通常實施為環繞軀幹的帶體的形式,也可實施為局部覆蓋軀幹的形式。 The system may include a piezoelectric motion sensor, which is arranged on the torso, which obtains a signal by applying force on the piezoelectric motion sensor through a breathing motion. It is usually implemented in the form of a belt around the torso, or may be implemented It is a form that partially covers the torso.
該系統可包括RIP(Respiratory Inductance Plethysmography,呼吸體積感應描記法)感測器,設置於軀幹,以取得呼吸動作所造成的胸部及/或腹部的擴張及收縮情形,通常會實施為環繞軀幹的帶體的形式。 The system may include a RIP (Respiratory Inductance Plethysmography) sensor, which is set on the torso to obtain the expansion and contraction of the chest and/or abdomen caused by breathing. It is usually implemented as a belt around the torso Body form.
該系統可包括至少二腦電電極、至少二眼電電極、及/或至少二肌電電極,例如,設置於頭部及/或耳朵上的二個腦電電極,及/或設置於額頭、眼睛附近的二個眼電電極、及/或設置於身上的二個肌電電極,以取得腦電訊號、眼電訊號、及/或肌電訊號,而透過分析腦電訊號、眼電訊號、及/或肌電訊號,則可得知睡眠期間的睡眠狀態/階段、睡眠週期等,有助於瞭解睡眠品質。 The system may include at least two EEG electrodes, at least two ocular electrodes, and/or at least two EEG electrodes, for example, two EEG electrodes arranged on the head and/or ears, and/or arranged on the forehead, Two EOG electrodes near the eyes and/or two EMG electrodes set on the body to obtain EEG signals, EO signals, and/or EMG signals, and by analyzing EEG signals, EO signals, And/or myoelectric signal, you can know the sleep state/stage, sleep cycle, etc. during sleep, which helps to understand the quality of sleep.
在此,需要說明地是,一般在擷取電生理訊號時,多會設置訊號擷取電極以及接地電極,其中,訊號擷取電極在於取得電生理訊號,而接地電極的作用則在於移除背景雜訊,而在本文中敘述的所有電極,則皆屬於訊號擷取電極,然為避免用詞過於冗長,在接下來的敘述中,皆以「電極」代表「訊號擷取電極」,至於接地電極的設置,一般則是會依實際需求而選擇性的進行設置,故在本文中即省略不贅述。 Here, it should be noted that generally when capturing electrophysiological signals, signal extraction electrodes and ground electrodes are often installed. Among them, the signal extraction electrodes are used to obtain electrophysiological signals, and the function of the ground electrodes is to remove the background. Noise, and all the electrodes described in this article are signal extraction electrodes. However, in order to avoid too long words, in the following description, "electrodes" are used to represent "signal extraction electrodes", as for grounding The setting of the electrode is generally set selectively according to actual needs, so it will not be repeated in this article.
有關睡眠階段/狀態相關資訊的取得,還可經由分析心率而獲得,舉例而言,由於睡眠期間的心率變化與睡眠階段間有一定的關係,例如,在深睡及淺睡期間的心率變化情形不同,故可直接透過觀察睡眠期間的心率分布而得知,另外,也可利用其他常見的分析方法,例如,HRV分析可得知自律神經的活性,而自律神經的活性亦與睡眠階段有關,希爾伯特-黃轉換(Hilbert-Huang transform,HHT)及其他適用的方法亦可用來分析心率變化,而且,經常會同時觀察心率以及身體動作而決定睡眠階段相關資訊。 Information about sleep stages/states can also be obtained by analyzing heart rate. For example, there is a certain relationship between heart rate changes during sleep and sleep stages, for example, heart rate changes during deep sleep and light sleep It is different, so it can be learned directly by observing the heart rate distribution during sleep. In addition, other common analysis methods can also be used. For example, HRV analysis can learn the activity of the autonomic nerve, and the activity of the autonomic nerve is also related to the sleep stage. Hilbert-Huang transform (HHT) and other applicable methods can also be used to analyze changes in heart rate. Moreover, heart rate and body movements are often observed at the same time to determine information about sleep stages.
該系統可包括一警示單元。許多型態的警示可用,包括:聽覺,視覺,觸覺,例如,聲音,閃光,電刺激,振動等,或任何其他可施加來通知使用者的警示,其中,使用振動警示時,較佳地是利用振動馬達,以提供較為舒適且不打擾使用者睡眠的警示,然替代地,在一些環境中,該警示單元可使用揚聲器或耳機,以進行聽覺警示(空氣傳導形式或骨傳導形式),或使用LEDs,以進行視覺警示。 The system may include a warning unit. Many types of warnings are available, including: auditory, visual, tactile, for example, sound, flashing, electrical stimulation, vibration, etc., or any other warning that can be applied to notify the user. Among them, when vibration warning is used, it is preferably Use a vibration motor to provide a more comfortable warning that does not disturb the user’s sleep. Alternatively, in some environments, the warning unit can use speakers or earphones for audible warnings (air conduction or bone conduction), or Use LEDs for visual warnings.
該系統可包括一資訊提供介面,較佳地是,一LCD或LED顯示元件,以將資訊提供給使用者,例如,生理資訊,統計資訊,分析結果, 儲存的事件,操作模式,警示內容,進程,電池狀態等,不受限制。 The system may include an information providing interface, preferably an LCD or LED display element, to provide information to the user, such as physiological information, statistical information, analysis results, Stored events, operation modes, warning content, progress, battery status, etc. are not restricted.
該系統可包括資料儲存單元,較佳地是,一記憶體,例如,一內部快閃記憶體、或一可移除記憶磁碟,以儲存所測得的生理資訊。 The system may include a data storage unit, preferably, a memory, such as an internal flash memory, or a removable memory disk, to store the measured physiological information.
該系統可包括至少一通訊模組,可實施為無線通訊模組,例如,藍芽,BLE,Zigbee,WiFi,RF或其他通訊協定,也可實施為有線通訊模組,例如,USB介面,UART介面,以在系統中進行溝通,及/或以與外部裝置進行溝通,其中,該外部裝置可包括,但不限於,智慧型裝置,如智慧手機、智慧手環、智慧眼鏡、智慧耳機等,平板電腦,筆記型電腦,個人電腦,亦即,可包括設置於使用者身上或身邊的裝置,而溝通則使得資訊可在該些裝置間交換,也使得資訊回饋、遠端控制、及監測等操作可進行。在此,智慧型裝置指的是,具開放平台且可利用載入程式及/或已預載程式而控制其行為者,可以有各種可能。 The system can include at least one communication module, which can be implemented as a wireless communication module, such as Bluetooth, BLE, Zigbee, WiFi, RF or other communication protocols, or as a wired communication module, such as USB interface, UART The interface is used to communicate in the system and/or to communicate with external devices, where the external devices may include, but are not limited to, smart devices such as smart phones, smart bracelets, smart glasses, smart headsets, etc., Tablet computers, notebook computers, personal computers, that is, can include devices installed on or around the user, and communication allows information to be exchanged between these devices, and also enables information feedback, remote control, and monitoring, etc. Operation can be carried out. Here, a smart device refers to a person with an open platform and can use a loaded program and/or a pre-loaded program to control its behavior. There are various possibilities.
該系統可包括一電力模組,例如,鈕釦型電池(button cell),鹼性電池,或可充電鋰電池,該系統也可具有充電模組,例如,感應充電電路,或藉由,可選擇地,USB埠或彈簧頂針進行充電。 The system may include a power module, such as a button cell, an alkaline battery, or a rechargeable lithium battery. The system may also have a charging module, such as an inductive charging circuit, or by Optionally, USB port or pogo pin for charging.
接著,請參閱圖2,其顯示在睡眠期間,上述各種生理感測器以及警示單元通常可設置的位置,可取得的睡眠生理資訊及詳細的設置細節如下。 Next, please refer to FIG. 2, which shows the positions where the various physiological sensors and warning units can be set during sleep. The available sleep physiological information and detailed setting details are as follows.
睡眠姿勢(sleep position),利用姿勢感測器取得,取得位置為身體中軸周圍,包括:頭頂區域200,額頭區域201,耳朵區域202,口鼻區域203,下頦區域204,頸部區域205,胸部區域206,以及腹部區域207,且可設置於環繞身體中軸的任何身體表面,例如,正面,背面等,只要可藉由換算的方式而取得睡眠姿勢的位置皆可,其中,以軀幹以及軀幹上方的頸部最具代表性。
Sleep position is acquired by a posture sensor, and the acquired position is around the central axis of the body, including: the
血氧濃度變化,利用光感測器取得,取得位置包括:額頭區域201,耳朵區域202,口鼻區域203,手臂區域208,手指區域209,以及腳部區域211。
The blood oxygen concentration change is acquired by a light sensor, and the acquired positions include:
心率,可利用光感測器取得,取得位置不限,其中,較常使
用的是手指區域209,手臂區域208,耳朵區域202,頭部區域210等,但身體任何位置皆可,另外,也可利用靈敏度高的加速度器偵測血液脈動所產生的血管振動,進而取得心率,且取得位置同樣沒有不限,例如,頭部、胸部、上肢等皆為可取得的位置。
The heart rate can be obtained with a light sensor, and the position is not limited. Among them, the
The
呼吸動作(Respiratory Effort),即為呼吸引起的胸部及/或腹部活動,可利用加速度器、壓電動作感測器、RIP感測器、或阻抗偵測電極取得,取得位置包括:胸部區域206以及腹部區域207。
Respiratory Effort refers to chest and/or abdominal activity caused by breathing. It can be obtained by using accelerometers, piezoelectric motion sensors, RIP sensors, or impedance detection electrodes. The obtained positions include: chest area 206 And the
呼吸行為,是利用光感測器取得之呼吸資訊的統稱,如前所述,其分為兩種,低頻呼吸行為是根據分析PPG波形而得的呼吸資訊,RSA呼吸行為則是根據的心率計算而得的呼吸資訊,取得位置不限,其中,較常使用的是手指區域209,手臂區域208,耳朵區域202,頭部區域210等,但身體任何位置皆可。
Breathing behavior is a general term for breathing information obtained by light sensors. As mentioned above, there are two types. Low-frequency breathing behavior is based on the breathing information obtained by analyzing the PPG waveform, and RSA breathing behavior is calculated based on the heart rate. There is no limit to the location where the breathing information can be obtained. Among them, the
呼吸氣流變化,利用呼吸氣流感測器(例如,熱敏電阻、熱電藕、氣流管等)取得,取得位置為口鼻區域203。
The respiratory airflow changes are acquired by a respiratory airflow detector (for example, a thermistor, thermoelectric lotus, airflow tube, etc.), and the acquired position is the mouth and
打鼾相關資訊(鼾聲)以及呼吸聲,利用麥克風取得,取得位置不限,亦可於身體外部取得,如利用手機取得。 Snoring related information (snoring sound) and breathing sounds can be obtained by using a microphone. The location is not limited, and it can also be obtained outside the body, such as using a mobile phone.
打鼾相關資訊(體腔振動),利用加速度器或壓電振動感測器取得,取得位置包括:頭部區域210,頸部區域205,胸部區域206,以及腹部區域207。
Snoring related information (body cavity vibration) is obtained by using an accelerometer or a piezoelectric vibration sensor. The obtained positions include:
腦電訊號,利用腦電電極取得,取得位置為頭部區域210。
The EEG signal is obtained by using EEG electrodes, and the obtained position is the
眼電訊號,利用眼電電極取得,取得位置為額頭區域201。
The ocular signal is obtained using ocular electrodes, and the obtained position is the
肌電訊號,利用肌電電極取得,取得位置不限,例如,額頭區域201,下頦區域204。
The electromyographic signal is obtained by using electromyographic electrodes, and the obtained position is not limited, for example, the
身體活動,利用加速度器取得,取得位置不限。 Physical activity can be obtained with an accelerometer, and the position can be obtained without limitation.
睡眠階段,可利用光感測器及/或加速度取得,取得位置不限,也可利用腦電電極、眼電電極、及/或肌電電極取得,取得位置以頭部為主;進一步地,透過分析睡眠階段的分布,例如,深睡、淺睡分別佔整體睡眠的比例等,就可瞭解睡眠品質。 During the sleep phase, it can be obtained by light sensors and/or acceleration, and the position is not limited, and it can also be obtained by EEG electrodes, EOG electrodes, and/or EMG electrodes. The position is mainly the head; further, By analyzing the distribution of sleep stages, such as the proportion of deep sleep and light sleep in the overall sleep, we can understand the quality of sleep.
再者,提供振動警示的警示單元可設置於身體可感受到振動的任何位置,以及提供聲音警示的警示單元則較佳地設置於耳朵附近,例如,當採用空氣傳導聲音警示時,設置於耳道及耳道口附近為佳,以及當採用骨傳導聲音警示時,則可設置的範圍較廣,除了耳朵附近外,整個頭骨都是可設置的範圍,較佳為無毛髮處,且警示的提供不限單種形式,亦可同時提供兩種形式以上的警示,例如,同時提供振動及聲音。另外,振動警示的方式也有不同的選擇,例如,可根據強度、頻率、持續時間等的各種變因而組合出不同的振動組合,除了可讓使用者選擇適合的振動方式外,也有助於避免出現感覺疲乏的現象。 Furthermore, the warning unit that provides vibration warning can be installed in any position where the body can feel the vibration, and the warning unit that provides sound warning is preferably installed near the ear, for example, when air-conducted sound warning is used, it is installed in the ear The canal and ear canal opening is better, and when the bone conduction sound warning is used, the range that can be set is wider, except for the ears, the entire skull can be set in the range, preferably hairless, and the warning is provided Not limited to a single form, two or more forms of warning can also be provided at the same time, for example, vibration and sound are provided at the same time. In addition, there are different options for vibration warning methods. For example, different combinations of vibration can be combined according to various changes in intensity, frequency, duration, etc. In addition to allowing users to choose a suitable vibration method, it also helps to avoid occurrences. Feeling tired.
其中,需注意地是,該耳朵區域202包括耳廓內面及背面、耳道、及耳朵附近的頭部,該手臂區域208包括上臂、前臂、及手腕,以及該頸部區域205包括頸部正面及背面。
It should be noted that the
另外,進行設置時,例如,將內含生理感測器的殼體設置於體表時,可利用各種適合的穿戴結構來達成,舉例而言,可利用環體、帶體,例如,環繞頭部、手臂、手指、頸部、軀幹等;利用黏附結構,例如,黏附於額頭、軀幹等體表任何可進行黏附的位置;利用(機械力或磁力)夾子,例如,夾住身體的一部份,如手指、耳朵等,或是夾在設置於體表的物件上,例如,衣服、環繞身上的帶體等;及/或利用掛件,例如,掛設於耳廓上等,因此,不受限於特定形式的穿戴結構。 In addition, when setting up, for example, when the housing containing the physiological sensor is placed on the body surface, various suitable wearing structures can be used to achieve this. For example, a ring body or a belt body can be used, for example, a surrounding head Parts, arms, fingers, neck, torso, etc.; use adhesion structures, for example, to stick to any position on the body surface such as forehead, torso, etc.; use (mechanical or magnetic) clips, for example, to clamp a part of the body Parts, such as fingers, ears, etc., or clipped to objects set on the body surface, such as clothes, belts around the body, etc.; and/or use pendants, such as hanging on the auricle, etc., therefore, no Limited to a specific form of wearing structure.
由上述可知,即使是同一種生理資訊,不受限地,也可利用不同種類的生理感測器以及選擇不同的身體區域而取得,再加上,還可選擇同時利用兩種以上的生理感測器及/或取得兩種以上的生理資訊及/或設置於兩個以上的身體區域,因此,在實際實施時,有各種組合變化及可能,也因此,接下來敘述的實施例僅作為舉例說明,而非限制,只要是落在上述範圍內者皆屬本案所欲主張範疇。 It can be seen from the above that even the same kind of physiological information can be obtained without limitation by using different types of physiological sensors and by selecting different body regions. In addition, you can also choose to use more than two kinds of physiological information at the same time. Detector and/or obtain two or more physiological information and/or be installed in two or more body regions. Therefore, in actual implementation, there are various combination changes and possibilities. Therefore, the following embodiments are only examples Explanation, not limitation, as long as it falls within the above range, it belongs to the scope of this case.
光感測器所取得的PPG訊號,除了可取得血氧濃度以計算ODI值、低氧水平等各種本領域具通常知識者所熟知的數據外,其相關於睡眠呼吸暫停/低通氣的發生,亦會產生其他變化,並足以作為判斷是否發生睡 眠呼吸暫停/低通氣的基礎。 The PPG signal obtained by the light sensor is related to the occurrence of sleep apnea/hypopnea, in addition to obtaining blood oxygen concentration to calculate ODI value, low oxygen level and other data well known to those with ordinary knowledge in the art. It will also produce other changes, and it is sufficient to judge whether sleep The basis of sleep apnea/hypopnea.
阻塞性睡眠呼吸暫停的發生會引起相對性的心跳過緩及PPG訊號的脈波振幅(Pulse wave amplitude,PWA)的增加,還有緊接在呼吸阻塞結束後會發生的心率迅速增加及強烈血管收縮,此現象於本文中稱為心率變化睡眠呼吸事件,且根據研究,已有報告指出,對具睡眠呼吸障礙患者而言,相較於心率(HR)/脈波之峰值間間隔(Peak-to-peak interval,PPI)出現變化,睡眠呼吸事件和覺醒對PWA及/或脈波面積(Pulse Area,PA)所引起的變化更多。 The occurrence of obstructive sleep apnea will cause relative bradycardia and an increase in the pulse wave amplitude (PWA) of the PPG signal, as well as a rapid increase in heart rate and strong blood vessels that occur immediately after the end of the respiratory obstruction. Contraction, this phenomenon is called the heart rate change sleep breathing event in this article, and according to research, there have been reports that, for patients with sleep breathing disorder, compared to the heart rate (HR) / pulse wave peak interval (Peak- The to-peak interval (PPI) changes, and sleep-respiratory events and awakening have more changes in PWA and/or pulse area (PA).
其中,如圖6所示,PPI定義為PPG訊號中兩個連續峰值之間的時間差。首先,檢測PPG訊號的每個週期的峰值(Peak.amp),並將所有Peak.amp點的時間標記儲存在陣列緩衝器中,PPI被計算為連續Peak.amp點之間的時間差,為了獲得準確的結果,可設定PPI值的合理範圍,例如,PPI<0.5秒(>120次/分鐘)或PPI>1.5秒(<40次/分鐘)被認為是異常並且加以移除。 Among them, as shown in Figure 6, PPI is defined as the time difference between two consecutive peaks in the PPG signal. First, detect the peak value (Peak.amp) of each cycle of the PPG signal, and store the time stamps of all Peak.amp points in the array buffer. PPI is calculated as the time difference between consecutive Peak.amp points, in order to obtain For accurate results, a reasonable range of PPI value can be set. For example, PPI<0.5 second (>120 times/minute) or PPI>1.5 seconds (<40 times/minute) is considered abnormal and removed.
PWA定義為峰值振幅(Peak.amp)和波谷振幅(Valley.amp)之間的差值,Peak.amp和Valley.amp是每個PPG週期的最大和最小振幅點。首先,所有Peak.Amp和Valley.amp點都被檢測為PPG訊號的局部最大和最小點,若出現缺少Peak.amp點的情況時,緊接的Valley.amp點亦被捨棄,最後,通過從緊接在前的Peak.amp中減去Valley.amp來計算PWA。由於Peak.amp和Valley.amp點僅成對檢測,否則即捨棄,因此,將不會因其中一個值不見而導致PWA值出錯,此外,如果存在任何異常Peak.amp點,則通過PPI特徵提取中提到的濾波程序來排除它們。 PWA is defined as the difference between peak amplitude (Peak.amp) and valley amplitude (Valley.amp). Peak.amp and Valley.amp are the maximum and minimum amplitude points of each PPG cycle. First, all Peak.Amp and Valley.amp points are detected as the local maximum and minimum points of the PPG signal. If there is a lack of Peak.amp points, the following Valley.amp points are also discarded. Finally, through the slave Calculate PWA by subtracting Valley.amp from the immediately preceding Peak.amp. Since Peak.amp and Valley.amp points are only tested in pairs, otherwise they will be discarded. Therefore, there will be no error in the PWA value due to missing one of the values. In addition, if there are any abnormal Peak.amp points, the PPI feature extraction is used The filtering procedure mentioned in to exclude them.
PA所代表的是由一個Peak.amp點以及兩個Valley.amp點所構成的三角區域(參見圖6)。與PWA特徵的提取類似,所有Peak.amp和Valley.amp點都被檢測為PPG訊號中的局部最大點和局部最小點,而且,由於亦記錄了時間標記(即每個點的取樣數),因此,脈波面積可從每個脈波波形計算而得。 PA represents a triangular area formed by a Peak.amp point and two Valley.amp points (see Figure 6). Similar to the extraction of PWA features, all Peak.amp and Valley.amp points are detected as the local maximum point and local minimum point in the PPG signal, and because the time stamp (ie the number of samples per point) is also recorded, Therefore, the pulse wave area can be calculated from each pulse wave shape.
呼吸信號RIIV(Respiratory Induced Intensity Variation,呼吸 引起的強度變化),是由呼吸同步血液容積變化所引起,可通過帶通濾波器而從PPG訊號中濾波提取,例如,0.13-0.48Hz,16級貝塞爾濾波器(16th degree Bessel filter),而此濾波器則是會抑制PPG訊號中,心臟相關的變化以及低於呼吸頻率的頻率,例如,交感神經活性及反應傳出迷走神經活動的反射性變化。 Respiratory signal RIIV (Respiratory Induced Intensity Variation, breathing The intensity change caused by breathing is caused by the change of blood volume in synchronization with breathing. It can be filtered and extracted from the PPG signal through a band-pass filter, for example, 0.13-0.48Hz, 16-level Bessel filter (16th degree Bessel filter) , And this filter will suppress the heart-related changes in the PPG signal and frequencies below the respiratory rate, such as sympathetic nerve activity and reflex changes in response to the vagus nerve activity.
因此,為了偵測睡眠呼吸暫停/低通氣事件及其起始(onset),亦可利用由PPG波形導出的PPI,PWA,PA,以及來自光感測器的RIIV等各種睡眠呼吸事件相關資訊而作為指標。 Therefore, in order to detect sleep apnea/hypopnea events and their onsets, it is also possible to use PPI, PWA, PA derived from PPG waveforms, and RIIV from a light sensor. As an indicator.
根據上述,本案名詞定義如下: Based on the above, the terms in this case are defined as follows:
睡眠生理資訊,至少包括:睡眠姿勢相關資訊,睡眠階段,睡眠身體活動,血氧濃度,心率,呼吸動作,呼吸氣流變化,呼吸行為,呼吸聲變化,打鼾相關資訊,腦電訊號,眼電訊號,以及肌電訊號。 Sleep physiological information, including at least: sleep posture related information, sleep stage, sleep physical activity, blood oxygen concentration, heart rate, breathing action, changes in respiratory airflow, breathing behavior, changes in breathing sound, snoring related information, EEG signals, ocular signals , And the EMG signal.
睡眠呼吸生理資訊,至少包括:血氧濃度,心率,呼吸動作,呼吸氣流變化,呼吸行為,呼吸聲變化,打鼾相關資訊。 Sleep breathing physiological information, including at least: blood oxygen concentration, heart rate, breathing action, changes in respiratory airflow, breathing behavior, changes in breathing sound, and snoring related information.
睡眠呼吸事件,包括:血液生理睡眠呼吸事件(氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件),打鼾事件,睡眠呼吸暫停事件,以及睡眠呼吸低通氣事件。 Sleep breathing events include: blood physiological sleep breathing events (oxygen desaturation events, low oxygen level events, heart rate changes sleep breathing events), snoring events, sleep apnea events, and sleep breathing hypopnea events.
接著,本案提供一種根據睡眠呼吸事件而進行的睡眠呼吸生理反饋訓練,以及圖3顯示利用睡眠呼吸生理反饋訓練改善睡眠呼吸暫停的示意流程圖。 Next, this case provides a sleep breathing physiological feedback training based on sleep breathing events, and Figure 3 shows a schematic flow chart of using sleep breathing physiological feedback training to improve sleep apnea.
其主要進行的方式是,利用軟體程式監測睡眠呼吸生理資訊,當患者的睡眠呼吸生理資訊在睡眠期間符合一預設條件時,即觸發警示單元產生警示,例如,聽覺、觸覺、視覺等任何類型的警示,以讓使用者發生足以中斷睡眠呼吸事件的部分喚醒(awaken)或覺醒(arousal),進而達到阻止睡眠呼吸暫停/低通氣的效果,其中,若未偵測到發生覺醒,例如,根據所取得睡眠呼吸生理資訊,則警示的強度會在下一次睡眠呼吸暫停/低通氣時增加。 The main way to proceed is to use software programs to monitor sleep-respiratory physiological information. When the patient’s sleep-respiratory physiological information meets a preset condition during sleep, the alert unit is triggered to generate a warning, such as hearing, touch, vision, etc. To allow the user to have a partial arousal (awaken) or arousal (arousal) sufficient to interrupt the sleep breathing event, thereby achieving the effect of preventing sleep apnea/hypopnea. Among them, if arousal is not detected, for example, according to If the physiological information of sleep breathing is obtained, the intensity of the warning will increase in the next sleep apnea/hypopnea.
這種監測睡眠呼吸事件及其起始、並定期及連續地短暫喚醒 患者睡眠的方法,是一種用來預防睡眠呼吸暫停/低通氣的反饋訓練,以讓使用者在使用本系統時經歷重複的睡眠呼吸暫停/低通氣時,會本能地在事件發生時學習到進行幾次深呼吸後返回睡眠。根據研究及實驗,在使用一段時間後,這種對警示的條件反應可有效減少或消除睡眠呼吸暫停/低通氣。 This monitors sleep breathing events and their onset, and periodically and continuously short wake up The method of patient sleep is a feedback training used to prevent sleep apnea/hypopnea, so that when the user experiences repeated sleep apnea/hypopnea when using the system, he will instinctively learn to proceed when the event occurs. Return to sleep after a few deep breaths. According to research and experiments, after a period of use, this conditional response to warnings can effectively reduce or eliminate sleep apnea/hypopnea.
在此,該預設條件可隨所取得的睡眠呼吸生理資訊而改變,例如,預設的血氧濃度變化,預設的心率變化等,接下來在不同實施例中有更詳細的敘述,再者,在設定時,較佳地是,可在一開始使用預設值,然後再針對每個使用者進行調整,例如,可使用生理感測器所收集的歷史數據來協助決定適合使用者的預設條件,而此動態調整則有助於降低假警示的發生率,並提高睡眠事件偵測的準確性,是一種較為進步的方法。 Here, the preset condition can be changed with the obtained physiological information of sleep breathing, for example, the preset blood oxygen concentration change, the preset heart rate change, etc., which will be described in more detail in different embodiments. During the setting, it is preferable to use the preset value at the beginning, and then adjust it for each user. For example, the historical data collected by the physiological sensor can be used to help determine the appropriate value for the user. Pre-set conditions, and this dynamic adjustment will help reduce the incidence of false alarms and improve the accuracy of sleep event detection, which is a more advanced method.
而軟體程式則可預載於用來取得睡眠生理資訊的穿戴裝置內,也可預載於一外部裝置,例如,一個人電腦,一智慧型穿戴裝置中,沒有限制。 The software program can be pre-loaded in the wearable device used to obtain sleep physiological information, or it can be pre-loaded in an external device, such as a personal computer or a smart wearable device, without limitation.
其實施流程從步驟301開始,之後,在步驟303設定預設條件,其中,預設條件是警示被啟動的數值,在一些實施例中,預設條件可以是軟體程式300內自動設定、或通過使用預設值而設定;替代地,這些值也可由使用者或執業醫師決定並手動輸入318,並且,可基於使用者特定訊息而改變。預設條件303的閾值條件/數值,可包括,但不限於,各種睡眠呼吸生理資訊及睡眠呼吸事件相關資訊,例如,使用者的血氧水平,使用者的心率,ODI,脈波振幅等。
The implementation process starts from
在學習模式中,步驟305,軟體程式300開始進行訊號取樣,其是透過穿戴裝置進行收集,並利用本領域技術人員已知的數據傳輸技術而被傳送到軟體程式300,接著,在步驟313,軟體程式300收集包含睡眠呼吸生理資訊的取樣數據,其中,該取樣數據是利用本領域技術人員已知的技術而被儲存在記憶體或資料庫中,並於步驟314辨識睡眠呼吸事件,例如,透過分析睡眠呼吸事件相關資訊。
In the learning mode, in
在步驟315,軟體程式300將所辨識的睡眠呼吸事件與歷史睡眠呼吸事件基線數據317進行比較。在一些實施例中,歷史睡眠呼吸事件基
線數據317可包括睡眠呼吸生理資訊,例如,通過醫療專業人員的指導而提供的心率值及血氧水平值等,歷史呼吸事件基線數據317也可提供指示使用者睡眠呼吸事件及其起始的PPG波形、心率變化、血氧值,及其他醫療數據;在一些實施例中,歷史睡眠呼吸事件基線數據317可獲取自使用者的歷史讀數、睡眠呼吸事件基線數據的熱門來源(例如,MIT-BIH多導睡眠資料庫)、或統計推導的數據等。在步驟315,取樣數據與歷史睡眠呼吸事件基線數據317進行比較,以決定在特定時段內是否發生假警示,如果發現假警示,則在步驟315對預設條件進行調整,以確保正確偵測到睡眠呼吸事件,如果沒有偵測到假警示,或僅偵測到軟體程式300或使用者可接受的預設範圍內少量假警示,則在步驟315中將不對預設條件進行調整,並進入完成狀態320。
In
在訓練模式中,請回到步驟305,在此步驟中,軟體程式300進行訊號取樣,然後在步驟307中執行訊號處理和相應的演算法,以自取樣的訊號中提取出睡眠呼吸生理資訊及相關數值,在步驟307之後,軟體程式300在步驟309中連續檢查,並通過將步驟307中獲得的結果與步驟303中設置的預設條件進行比較,而決定與預設條件是否匹配,若在步驟309中未與預設條件匹配,則訊號取樣繼續,且不執行進一步的處理,若在步驟309中與預設條件匹配,則決定一警示行為,以啟動警示312的產生,在此,該警示將讓使用者被短暫地喚醒,然後,使用者會進行幾次深呼吸並返回睡眠,因而停止呼吸暫停/低通氣狀況。在整個訓練模式中,監控、警示(和調整預設條件)的過程會持續進行,而此過程的結果則使得睡眠呼吸暫停/低通氣的頻率和數量逐漸減少。
In the training mode, please go back to
學習模式和訓練模式可以自動地、或由使用者手動設置地動態轉換,且可在同一夜晚或不同夜晚執行,以最佳化治療效果,沒有限制。 The learning mode and the training mode can be dynamically switched automatically or manually set by the user, and can be executed on the same night or on different nights to optimize the treatment effect without limitation.
接下來,本系統提供有關評估及改善姿勢性睡眠呼吸障礙的內容。 Next, this system provides content about evaluating and improving postural sleep-disordered breathing.
請參照圖4,此流程圖舉例說明利用本系統評估睡眠姿勢與打鼾間關係的主要步驟,並提供了相關的訓練方法。在步驟402,裝置透過一穿戴結構而設置於使用者身上。
Please refer to Figure 4. This flowchart illustrates the main steps of using this system to evaluate the relationship between sleep posture and snoring, and provides related training methods. In
在步驟405,當裝置穿戴設置完成後,控制單元即開始數據收集,以在使用者的睡眠期間獲取睡眠姿勢相關資訊,其中,收集的數據可通過無線通訊模組傳輸到外部裝置,或者可先保存在可穿戴裝置的記憶體中,然後再傳輸到外部裝置進行後續分析,接著,請參照步驟410,在此步驟中,會進行打鼾事件相關資訊的收集,可使用的感測器包括,但不限於,麥克風,壓電振動感測器,加速度器,其可設置於可穿戴裝置上,或者也可設置於外部裝置上,例如,智慧型手機,沒有限制。
In
接著,在步驟415,睡眠姿勢相關資訊以及打鼾事件相關資訊會相互結合,並透過軟體程式計算兩者的相關性,例如,仰躺打鼾指數定義為仰躺姿勢時每小時打鼾事件的數量,非仰躺打鼾指數定義為仰躺姿勢時每小時打鼾事件的數量,以及打鼾指數=仰躺鼾聲指數+非仰躺鼾聲指數,另外,仰躺性打鼾者(supine-dependent snorer)定義為仰躺打鼾指數高於其非仰躺打鼾指數。在步驟418,一預定閾值會與,例如,仰躺打鼾指數和非仰躺打鼾指數的比率,或是其他數值,進行比較,如果超過閾值,則使用者被識別為姿勢性打鼾者(positional snorer),並接著可在步驟425進行睡眠姿勢訓練(Sleep Position Training,SPT),否則,使用者可在步驟430進行以打鼾事件為根據的睡眠呼吸生理反饋訓練;或可選地,若為高姿勢依賴性(high position dependency)伴隨高非仰躺打鼾指數(high non-supine snore index)的情況,則使用者可同時結合,於仰躺姿勢期間進行姿勢訓練以及於非仰躺姿勢期間進行基於打鼾事件的睡眠呼吸生理反饋訓練兩者。另一方面,若為高打鼾指數伴隨較低姿勢依賴性的情況,則使用者可透過步驟440檢查是否為姿勢性睡眠呼吸暫停(POSA),因為根據研究,當使用者的打鼾指數越高時,越常被發現與姿勢無關,這意味著是可能導致OSA症狀的更嚴重上呼吸道阻塞。
Then, in
接著,請參考圖5,此流程圖舉例說明使用本系統評估睡眠姿勢與睡眠呼吸事件間關係的主要步驟,並提供了相應的訓練方法,而在此,該睡眠呼吸事件則是可包括或不包括打鼾事件。在步驟502,裝置透過一穿戴結構而設置於使用者身上。
Next, please refer to Figure 5. This flowchart illustrates the main steps of using this system to assess the relationship between sleep posture and sleep breathing events, and provides corresponding training methods. Here, the sleep breathing events can be included or not. Including snoring incidents. In
在步驟505,當裝置穿戴設置完成後,控制單元即開始數據收集,以在使用者的睡眠期間獲取睡眠姿勢相關資訊,其中,收集的數據可通過無線通訊模組傳輸到外部裝置,或者可先保存在可穿戴裝置的記憶體中,然後再傳輸到外部裝置進行後續分析,接著,請參照步驟510,在此步驟中,會進行睡眠呼吸生理資訊的收集,可使用的感測器包括,但不限於,光感測器,加速度器,壓電振動感測器,壓電動作感測器,呼吸氣流感測器,麥克風等,而根據取得訊號的不同,感測器則是可設置於穿戴裝置上,或者也可設置於外部裝置,例如,智慧型手機,沒有限制。
In
接著,在步驟515,睡眠姿勢相關資訊以及睡眠呼吸生理資訊會相互結合,以透過軟體程式計算兩者的相關性,例如,仰躺睡眠呼吸事件指數定義為仰躺姿勢時每小時睡眠呼吸事件的數量,非仰躺睡眠呼吸事件指數定義為非仰躺姿勢時每小時睡眠呼吸事件的數量,以及睡眠呼吸事件指數=仰躺睡眠呼吸事件指數+非仰躺睡眠呼吸事件指數,另外,姿勢性睡眠呼吸事件使用者被定義為仰躺睡眠呼吸事件指數高於其非仰躺睡眠呼吸事件指數。在步驟518,一預定閾值會與,例如,仰躺睡眠呼吸事件指數與非仰躺睡眠呼吸事件指數的比率,或是其他數值,進行比較,如果超過閾值,則使用者被識別為姿勢性睡眠呼吸事件使用者,並接著可在步驟525進行睡眠姿勢訓練(SPT),否則,使用者可在步驟530進行以睡眠呼吸事件為根據的睡眠呼吸生理反饋訓練;或者,可選地,若為高姿勢依賴性(high position dependency)伴隨高非仰躺睡眠呼吸事件指數(high non-supine respiratory event index)的情況,則使用者可同時結合,於仰躺姿勢期間進行姿勢訓練以及於非仰躺姿勢期間進行基於睡眠呼吸事件的睡眠呼吸生理反饋訓練兩者。
Then, in
其中,姿勢訓練的方式為,當偵測到睡眠姿勢符合一預設姿勢範圍,例如,仰躺姿勢,並持續一段時間(例如,5秒至10秒)時,警示單元會啟動警示,例如,振動或聲音,且該警示會逐漸增加/增量強度,直到偵測到睡眠姿勢脫離該預設姿勢範圍,例如,變成不同的睡眠姿勢、或非仰躺姿勢,則警示立即停止,若在一預設期間(例如,可調整的10秒至 60秒)後未偵測到姿勢發生改變,則警示會暫停,並在一段時間(例如,可調整的數分鐘)後重新開始;在一些實施例中,該警示一開始的頻率/持續時間會非常短,並逐漸增加,直到使用者不再呈現仰躺姿勢為止;無論警示強度為何,都會具警示間間隔(例如,2秒)的重複數次(例如,6次)。 Among them, the posture training method is that when it is detected that the sleeping posture meets a preset posture range, for example, the lying posture, and continues for a period of time (for example, 5 to 10 seconds), the warning unit will activate the warning, for example, Vibration or sound, and the alert will gradually increase/increase in intensity until it detects that the sleeping posture is out of the preset posture range, for example, it changes to a different sleeping posture or a non-spine posture, the alert stops immediately. Preset period (for example, adjustable 10 seconds to If no posture change is detected after 60 seconds), the alert will pause and restart after a period of time (for example, a few minutes that can be adjusted); in some embodiments, the initial frequency/duration of the alert will be It is very short and gradually increases until the user no longer presents a lying position; regardless of the strength of the warning, there will be repeated several times (for example, 6 times) with an interval between warnings (for example, 2 seconds).
至於預設姿勢範圍的設定,則是可依實際需求而有所不同,舉例而言,根據對於仰躺姿勢定義的不同,預設姿勢範圍即有所改變,例如,當加速度器設置於軀幹時,可設定為軀幹平面法線與床面法線夾角落在正負30度的範圍,或者,當加速度器設置於額頭時,由於頭部可能有較多的動作,因此可設定為額頭平面法線與床面法線夾角落在正負45度的範圍,又或者,當加速度器設置於頸部時,可與頭部有同樣的設定範圍等。因此,沒有限制,有各種選擇。 As for the setting of the preset posture range, it can be different according to actual needs. For example, according to the definition of the lying posture, the preset posture range will be changed, for example, when the accelerometer is set on the torso , Can be set as the normal line of the torso plane and the normal line of the bed surface in the range of plus or minus 30 degrees, or when the accelerometer is set on the forehead, because the head may have more movements, it can be set as the forehead plane normal The corner of the bed is within the range of plus or minus 45 degrees with the normal of the bed surface, or, when the accelerometer is installed on the neck, it can have the same setting range as the head. Therefore, there are no restrictions and various options.
另外,針對打鼾所執行的姿勢訓練也是類似上述的情形,只在於提供警示的根據為是否偵測到打鼾,即不再贅述。 In addition, the posture training performed for snoring is similar to the above-mentioned situation, except that the basis for providing a warning is whether snoring is detected, which is not repeated here.
警示的提供則為,控制單元會被建構以產生一驅動訊號,且警示單元在接收該驅動訊號後,會產生至少一警示,並將該至少一警示提供予該使用者,以達成睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的目的,其中,該驅動訊號實施為至少根據該睡眠姿勢相關資訊與一預設姿勢範圍進行比較後,且該睡眠姿勢相關資訊符合該預設姿勢範圍時,及/或根據該睡眠呼吸生理資訊與一預設條件進行比較後,且該至少一睡眠呼吸生理資訊符合該預設條件時,所決定的一警示行為而產生。有關如何提供警示以及詳細內容則在接下來的實施例中有進一步的敘述。 The warning is provided in that the control unit is constructed to generate a driving signal, and after receiving the driving signal, the warning unit generates at least one warning and provides the at least one warning to the user to achieve sleep posture training And/or the purpose of sleep breathing physiological feedback training, wherein the driving signal is implemented at least according to the sleep posture related information and a preset posture range, and the sleep posture related information meets the preset posture range, and /Or generated based on a warning behavior determined when the sleep breathing physiological information is compared with a preset condition and the at least one sleep breathing physiological information meets the preset condition. How to provide warnings and details are further described in the following embodiments.
在此,需注意地是,上述的警示單元,無論所產生之警示的類型為何,例如,振動或聲音,在實施時皆有各種可能,例如,可設置於取得睡眠生理資訊的穿戴裝置內,也可設置於另外的穿戴裝置中,也可設置於外部裝置中,故沒有限制。 Here, it should be noted that the above-mentioned warning unit, regardless of the type of warning generated, such as vibration or sound, has various possibilities for implementation. For example, it can be installed in a wearable device that obtains sleep physiological information. It can also be installed in another wearable device or in an external device, so there is no limitation.
另外,警示的提供,較佳地是,在確認使用者已入睡後再執行,以最不打擾睡眠的方式進行,而針對此點,在一較佳實施例中,本案是利用偵測睡眠生理資訊來瞭解使用者是否已入睡,並在入睡後系統才進 入一警示可產生狀態並開始提供睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練。 In addition, the provision of warnings is preferably executed after confirming that the user has fallen asleep, in a manner that least disturbs sleep. For this point, in a preferred embodiment, this case uses the detection of sleep physiological Information to understand whether the user has fallen asleep, and the system does not enter Entering a warning can generate a state and start to provide sleep posture training and/or sleep breathing physiological feedback training.
在執行時,生理感測器所取得的睡眠生理資訊會與一預設條件進行比較,以決定使用者是否符合一預設睡眠呼吸條件,在此,該預設睡眠呼吸條件所採用的是已入睡後才會發生的生理狀況,例如,是否出現氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件,打鼾事件,睡眠呼吸暫停事件,睡眠呼吸低通氣事件,呼吸特定變化,及/或心率特定變化,而當使用者符合該預設睡眠呼吸條件時,該系統即進入警示可產生狀態,控制單元產生驅動訊號,以驅動警示單元依照不同的警示行為而提供警示。 During execution, the sleep physiological information obtained by the physiological sensor will be compared with a preset condition to determine whether the user meets a preset sleep breathing condition. Here, the preset sleep breathing condition is Physiological conditions that occur after falling asleep, for example, whether there are oxygen desaturation events, low oxygen level events, heart rate changes, sleep breathing events, snoring events, sleep apnea events, sleep apnea events, specific changes in breathing, and/ Or a specific change in heart rate, and when the user meets the preset sleep breathing condition, the system enters an alert generation state, and the control unit generates a driving signal to drive the alert unit to provide alerts according to different alert behaviors.
舉例而言,可以偵測到打鼾為基準,例如,利用麥克風或加速度器,尤其,阻塞型睡眠呼吸暫停在發生前,幾乎都會先出現打鼾,而這對進行睡眠姿勢訓練或進行睡眠呼吸生理反饋訓練而言,都是可以依循的時間點,相當具優勢;也可透過分析心率而獲得相關睡眠的資訊,例如,睡著時心率會出現特定的變化,或可根據心率計算獲得HRV(心跳變異率)而瞭解身體的狀態;也可透過分析呼吸而得知是否入睡,例如,睡著後呼吸速率會變慢等;也可藉由瞭解睡眠階段而得知是否入睡,例如,可透過分析加速度器所測得的身體活動(actigraph),及/或光感測器所取得的心率而瞭解睡眠階段;替代地,也能夠將偵測到發生睡眠呼吸事件作為已經入睡的基準。因此,在生理感測器的選擇上有許多可能,上述所有可取得睡眠生理資訊的生理感測器皆可利用,沒有限制。 For example, snoring can be detected as a benchmark, for example, using a microphone or accelerometer. In particular, obstructive sleep apnea almost always occurs before snoring occurs, and this pair performs sleep posture training or sleep breathing physiological feedback In terms of training, they are all time points that can be followed, which is quite advantageous; it can also obtain sleep-related information by analyzing the heart rate. For example, the heart rate will have a specific change when sleeping, or the HRV (heart rate variability) can be calculated based on the heart rate Rate) to understand the state of the body; it is also possible to know whether to fall asleep by analyzing breathing, for example, the breathing rate will slow down after falling asleep, etc.; it is also possible to know whether to fall asleep by understanding the stage of sleep, for example, by analyzing acceleration The physical activity (actigraph) measured by the device and/or the heart rate obtained by the light sensor can be used to understand the sleep stage; alternatively, the detection of a sleep breathing event can also be used as a reference for falling asleep. Therefore, there are many possibilities in the choice of physiological sensors. All the physiological sensors that can obtain sleep physiological information can be used without limitation.
此外,用來取得判斷系統是否進入該警示可產生狀態的生理資訊的該生理感測器,其設置位置同樣可依實際需求而有所不同,而且,可實施為直接利用執行訓練程序所使用的生理感測器,也可以是另外再增加設置的生理感測器,例如,可以利用配戴於身上之裝置內的加速度器、光感測器、麥克風等,或是另外再設置一穿戴裝置,也可利用放置於床邊的外部裝置內的麥克風,也可利用設置於床墊上的加速度器等,有各種可能,皆為可使用的選擇。 In addition, the physiological sensor used to obtain the physiological information to determine whether the system enters the warning-generating state can also be set at different positions according to actual needs, and can be implemented as direct use of the training procedure used The physiological sensor can also be an additional physiological sensor, for example, an accelerometer, light sensor, microphone, etc. in a device worn on the body can be used, or a wearable device can be additionally provided. You can also use a microphone placed in an external device beside the bed, or you can use an accelerometer installed on a mattress. There are various possibilities, all of which are available.
進一步地,如圖7所示的流程圖,睡眠姿勢訓練與睡眠呼吸生理反饋訓練也可在同一個睡眠期間內一起進行。在此情形下,透過設置姿勢感測器以及至少一生理感測器,就可在同一個睡眠期間內取得睡眠姿勢相關資訊以及睡眠呼吸生理資訊,在此,根據欲取得之睡眠呼吸生理資訊的不同及設置位置的選擇,該至少一生理感測器可以是,例如,光感測器,麥克風,加速度器,壓電動作感測器,壓電振動感測器,RIP感測器,及/或呼吸氣流感測器,沒有限制,且特別地是,當選用加速度器作為生理感測器時,其亦可同時作為姿勢感測器。 Further, as shown in the flowchart shown in FIG. 7, sleep posture training and sleep breathing physiological feedback training can also be performed together during the same sleep period. In this case, by setting up a posture sensor and at least one physiological sensor, it is possible to obtain sleep posture related information and sleep respiration physiological information during the same sleep period. Here, according to the desired sleep respiration physiological information Depending on the choice of location, the at least one physiological sensor can be, for example, a light sensor, a microphone, an accelerometer, a piezoelectric motion sensor, a piezoelectric vibration sensor, a RIP sensor, and/ There is no limit to the breathing and flu sensor, and in particular, when an accelerometer is selected as a physiological sensor, it can also be used as a posture sensor at the same time.
之後,利用睡眠呼吸生理資訊分析程式,以將睡眠呼吸生理資訊與預設條件進行比較,可決定該使用者的睡眠呼吸事件,以及利用睡眠姿勢分析程式,以將睡眠姿勢相關資訊與預設姿勢範圍進行比較,其中,當該睡眠姿勢相關資訊符合該預設姿勢範圍時,提供一第一警示條件組合,以及當該睡眠姿勢相關資訊超出該預設姿勢範圍時,提供一第二警示條件組合,而警示決定程式則根據不同的警示條件組合而相應地決定警示行為,因此,控制單元根據該警示行為產生一驅動訊號,而警示單元在接收該驅動訊號後,產生至少一警示,以達到影響該使用者的睡眠姿勢及/或影響該使用者的睡眠呼吸狀態的效果。 Then, the sleep-respiration physiological information analysis program is used to compare the sleep-respiration physiological information with preset conditions to determine the sleep-respiration event of the user, and the sleep posture analysis program is used to compare the sleep posture related information with the preset posture The range is compared, wherein when the sleep posture related information meets the preset posture range, a first warning condition combination is provided, and when the sleep posture related information exceeds the preset posture range, a second warning condition combination is provided , And the warning determination program determines the warning behavior according to different warning condition combinations. Therefore, the control unit generates a driving signal according to the warning behavior, and the warning unit generates at least one warning after receiving the driving signal to achieve impact The sleeping posture of the user and/or the effect of affecting the sleeping breathing state of the user.
其中,該第一警示條件組合至少會包括時間範圍條件以及睡眠呼吸事件條件的至少其中之一,舉例而言,時間範圍條件可實施為以絕對時間為基準,例如,凌晨1點;也可實施為以特定生理條件為基準,例如,已躺下,已入睡,或其他各種生理條件後1小時;也可實施為延遲時間,例如,在裝置啟動經過1小時後,如此一來,就可根據實際的時間需求而選擇是否在符合預設姿勢範圍的情形下提供警示,有助於提供較舒適的使用體驗,另外,睡眠呼吸事件條件則提供了是否在同一個睡眠期間內一起進行睡眠姿勢訓練以及睡眠呼吸生理反饋訓練的選擇,讓訓練效果進一步提升。 Wherein, the first warning condition combination may include at least one of a time range condition and a sleep breathing event condition. For example, the time range condition can be implemented based on absolute time, for example, 1 AM; it can also be implemented It is based on specific physiological conditions, such as 1 hour after lying down, falling asleep, or various other physiological conditions; it can also be implemented as a delay time, for example, after 1 hour after the device is activated, so that it can be based on The actual time needs to choose whether to provide warnings in the context of the preset posture range, which helps to provide a more comfortable experience. In addition, the sleep breathing event conditions provide whether to perform sleep posture training together during the same sleep period As well as the choice of sleep breathing physiological feedback training, the training effect is further improved.
另外,該第二警示條件組合則是至少會包括該時間範圍條件以及該睡眠呼吸事件條件,舉例而言,當睡眠姿勢相關資訊超出預設姿勢範圍時,例如,處於非仰躺狀態時,產生警示的最主要條件是發生睡眠呼 吸事件,且同樣地,如前所述,能夠選擇要執行睡眠呼吸生理反饋訓練的時間,例如,以絕對時間作為基準,或以特定生理條件作為基準,或是設置延遲時間等。 In addition, the second warning condition combination will at least include the time range condition and the sleep breathing event condition. For example, when the sleep posture related information exceeds the preset posture range, for example, when in a non-recumbent state, The most important condition for warning is the occurrence of sleep Inhalation event, and similarly, as mentioned above, it is possible to select the time to perform sleep breathing physiological feedback training, for example, using absolute time as a reference, or specific physiological conditions as a reference, or setting a delay time.
再者,也可增設其他條件,例如,警示強度條件、警示頻率條件等,以在剛入睡時提供強度較弱的警示,經一段時間後,再增加強度,因此,藉由警示條件組合的提供,能夠更符合需求且讓使用者感覺更不受打擾地執行訓練。 Furthermore, other conditions can be added, such as warning intensity conditions, warning frequency conditions, etc., to provide a weaker warning when you just fall asleep, and then increase the intensity after a period of time. Therefore, the combination of warning conditions is provided , Which can better meet the needs and make users feel less disturbed to perform training.
而且,由於睡眠姿勢在睡眠期間是隨時改變的,因此,將是動態地適用該第一警示條件組合以及該第二警示條件組合,適用順序沒有限制。 Moreover, since the sleeping posture changes at any time during sleep, the first warning condition combination and the second warning condition combination will be dynamically applied, and the order of application is not limited.
在本案系統中,根據所執行的功能不同,會相應地具有各種軟體程式,包括,但不限於,睡眠生理資訊分析程式,睡眠呼吸生理資訊分析程式,睡眠呼吸事件分析程式,警示決定程式等,以根據生理感測器所取得的生理訊號而得出各種生理資訊,且不受限地,各種軟體程式可根據實際需求及實施方式的不同而預載於不同的裝置中。 In this case, the system will have various software programs according to the different functions executed, including, but not limited to, sleep physiological information analysis program, sleep respiratory physiological information analysis program, sleep respiratory event analysis program, alarm determination program, etc., Various physiological information can be obtained based on the physiological signals obtained by the physiological sensor, and without limitation, various software programs can be pre-loaded in different devices according to actual needs and implementation methods.
根據上述以睡眠呼吸生理資訊為基礎所進行睡眠呼吸生理反饋訓練(圖3),以及以睡眠姿勢為基礎所進行的睡眠呼吸障礙檢測及訓練(圖4及圖5),配合上可取得相關生理訊號之生理感測器的各種可能設置位置(如圖2所示),本案不受限地有下述各種實施可能,也因此,上述的各種訓練內容及組合,可藉由接下來敘述之任何合適的實施例來實現,即不再重複贅述。 According to the above-mentioned sleep breathing physiological feedback training based on the physiological information of sleep breathing (Figure 3), and the sleep breathing disorder detection and training based on sleep posture (Figure 4 and Figure 5), the relevant physiology can be obtained in cooperation The various possible placement positions of the physiological sensor of the signal (as shown in Figure 2), this case has the following implementation possibilities without limitation. Therefore, the various training contents and combinations mentioned above can be determined by any of the following descriptions A suitable embodiment is implemented, that is, the details are not repeated here.
首先,本案其中一方面的內容在於評估使用者的睡眠姿勢與睡眠呼吸障礙的關係,以及進一步有關於如何改善姿勢性睡眠呼吸障礙。 First of all, one aspect of this case is to assess the relationship between the user's sleep posture and sleep disordered breathing, and further on how to improve postural sleep disordered breathing.
在一方面的構想中,是透過分散的設置方式來達成最佳的使用效果。 On the one hand, the idea is to achieve the best use effect through scattered settings.
當採用分散形式時,分散的裝置之間如何相互溝通,及/或如何與外部裝置之間溝通,就顯得非常重要性,因其不但牽涉到實施可行性,亦相關於使用方便性,而本案的分散系統所指是,包括複數個可獨立運作 且各自具有如控制單元、電力模組、通訊模組等電路配置的裝置,其中,該通訊模組可進一步實施為無線形式,此時裝置間利用數位訊號並以無線形式進行溝通,以最大化使用方便性。 When a decentralized form is adopted, how the decentralized devices communicate with each other and/or how to communicate with external devices becomes very important, because it not only involves the feasibility of implementation, but also the convenience of use, and this case The decentralized system refers to, including a plurality of independent operation Each device has a circuit configuration such as a control unit, a power module, and a communication module. The communication module can be further implemented in a wireless form. At this time, the devices use digital signals and communicate in a wireless form to maximize Ease of use.
正如技術背景中所述,習知技術多是採用單一裝置同時進行睡眠生理資訊檢測以及警示提供,不過,由於睡眠姿勢的取得位置較佳是在身體中軸附近,或是可利用換算方式計算而得的位置,因而容易造成檢測與警示兩者無法兼顧。 As mentioned in the technical background, most of the conventional technologies use a single device to detect sleep physiological information and provide warnings at the same time. However, since the position of the sleep posture is preferably near the central axis of the body, or can be calculated by conversion. Therefore, it is easy to cause the detection and warning to be incompatible.
當採用分散形式時,首先,警示單元的設置位置以及警示的形式都變得可自由選擇,舉例而言,有部分人對振動較為敏感,也有部分人對聲音較為敏感;或者,不同身體部位對於警示的敏感程度亦不同。 When using a decentralized form, first of all, the location of the warning unit and the form of the warning become freely selectable. For example, some people are more sensitive to vibration, and some people are more sensitive to sound; or, different body parts are more sensitive to The sensitivity of warnings is also different.
再者,分散形式也讓睡眠生理資訊的取得有更多的選擇性。如前所述,睡眠生理資訊的取得可利用各種生理感測器,且可被設置於各種位置,故分散形式的採用將有助於讓測量更貼近實際需求,例如,不同使用者的睡眠呼吸障礙症狀都可能不同,透過選擇將可更正確地反應實際生理狀況,另外,對於不同使用者的使用習慣也可有所因應,例如,每個人對於身體設置物體的感覺皆不同,而不綁定的設計讓使用者可自行選擇最不干擾睡眠的設置位置。 Furthermore, the decentralized form also allows more options for obtaining sleep physiological information. As mentioned above, various physiological sensors can be used to obtain sleep physiological information and can be set in various positions. Therefore, the use of decentralized forms will help make the measurement closer to actual needs, for example, sleep breathing of different users The symptoms of the disorder may be different, and the actual physiological conditions can be more accurately reflected through selection. In addition, different users' habits can also be responded to. For example, each person has different feelings about the body set objects, and they are not bound. The design allows users to choose the setting position that least disturbs sleep.
其中,一種實施可能是,一睡眠系統實施為包括二個裝置,一睡眠警示裝置以及一睡眠生理裝置,該睡眠警示裝置包括一第一穿戴結構,一第一控制單元,至少包括微控制器/處理器,一第一無線通訊模組,電連接至該控制單元,一警示單元,電連接至該控制單元,以及一電力模組,其中,該第一穿戴結構用以將該睡眠警示裝置設置於一使用者身上,以使該警示單元對該使用者產生至少一警示;另外,該睡眠生理裝置包括一第二穿戴結構,一第二控制單元,至少包括微控制器/處理器,一第二無線通訊模組,電連接至該控制單元,一姿勢感測器,電連接至該控制單元,以及一電力模組,其中,該第二穿戴結構用以將該睡眠生理裝置設置於該使用者身上,以使該姿勢感測器可在該使用者的睡眠期間取得睡眠姿勢相關資訊,並作為提供該至少一警示的參考。 Among them, one implementation may be that a sleep system is implemented to include two devices, a sleep warning device and a sleep physiological device. The sleep warning device includes a first wearable structure, a first control unit, and at least a microcontroller/ A processor, a first wireless communication module, electrically connected to the control unit, a warning unit, electrically connected to the control unit, and a power module, wherein the first wearable structure is used to set the sleep warning device On a user so that the warning unit generates at least one warning for the user; in addition, the sleep physiology device includes a second wearable structure, a second control unit, at least a microcontroller/processor, and a second Two wireless communication modules, electrically connected to the control unit, a posture sensor, electrically connected to the control unit, and a power module, wherein the second wearable structure is used to set the sleep physiological device in the use So that the posture sensor can obtain sleep posture related information during the sleep of the user, and serve as a reference for providing the at least one warning.
上述的睡眠系統即為一分散形式的睡眠姿勢訓練系統,透過這樣的設置,警示單元就可自由地選擇為振動或音頻的形式,並設置於任何適合的位置,另外,姿勢感測器也無須遷就於必須設置於可感受到警示的身體位置,可設置於身體上任何適合的位置。 The above-mentioned sleep system is a decentralized sleep posture training system. Through this setting, the warning unit can be freely selected in the form of vibration or audio, and set in any suitable position. In addition, posture sensors are not required. The accommodation must be placed in a body position where the warning can be felt, and can be placed in any suitable position on the body.
其中,特別地是,用來取得睡眠姿勢的該睡眠生理裝置可實施為設置於軀幹,例如,腹部,胸部等,並可實施為利用綁帶、黏附結構等設置於軀幹上,或也可實施為固定於衣服上的形式,而且,由於相關睡眠姿勢的資訊無須接觸皮膚即可取得,裝置亦可設置於衣服外部,相當方便;再加上,該睡眠警示裝置可實施為位於一般使用者經常配戴的位置,例如,手腕,手指等,並採用廣為使用者接受的形式,例如,腕戴形式,指戴形式等,以提供振動警示;兩者配合起來,使用上非常方便,也對身體沒有負擔,例如,睡眠生理裝置可設置的於胸部以及睡眠警示裝置可設置於腕部。 Among them, in particular, the sleep physiology device used to obtain a sleeping posture can be implemented to be installed on the torso, for example, abdomen, chest, etc., and can be implemented to be installed on the torso using straps, adhesive structures, etc., or can also be implemented It is fixed on clothes, and since the information about sleeping postures can be obtained without touching the skin, the device can also be installed outside the clothes, which is quite convenient. In addition, the sleep warning device can be implemented in general users. The wearing position, for example, wrist, fingers, etc., and adopt the form that is widely accepted by users, for example, wrist-wearing form, finger-wearing form, etc., to provide vibration warning; the combination of the two is very convenient to use, but also The body is not burdened. For example, the sleep physiology device can be installed on the chest and the sleep warning device can be installed on the wrist.
當然,不受限地,該睡眠生理裝置也可設置於其他位置,例如,額頭,頸部等,以及該睡眠警示裝置也可設置於其他位置以及採用其他形式的警示,例如,可實施為設置於耳朵及/或耳朵附近,以提供聲音警示,且可進一步實施為連接外部裝置的耳機,例如,外部裝置可與睡眠生理裝置間進行溝通,再根據睡眠生理裝置所提供的睡眠姿勢而驅動連接之耳機產生聲音警示;再進一步,該睡眠警示裝置還可實施為智慧耳機的形式,亦即,可直接與該睡眠生理裝置間進行無線溝通的形式,因此,可根據實際需求而有各種實施方式,沒有限制。 Of course, without limitation, the sleep physiology device can also be installed in other positions, such as forehead, neck, etc., and the sleep warning device can also be installed in other positions and adopt other forms of warning, for example, it can be implemented as a configuration It is used to provide sound warnings near the ears and/or ears, and can be further implemented as earphones connected to external devices. For example, the external devices can communicate with the sleep physiology device, and then drive the connection according to the sleep posture provided by the sleep physiology device The earphone generates a sound warning; further, the sleep warning device can also be implemented in the form of a smart earphone, that is, it can directly communicate with the sleep physiological device wirelessly. Therefore, there are various implementations according to actual needs ,no limit.
至於所取得的生理資訊在分散的裝置間如何傳輸,則有許多選擇,舉例而言,在一較佳實施例中,可將睡眠生理資訊分析程式以及警示決定程式皆預載於睡眠生理裝置中,亦即,該睡眠姿勢相關資訊會先與一預設姿勢範圍進行比較,而得知該睡眠姿勢相關資訊是否符合該預設姿勢範圍,並在符合該預設姿勢範圍時決定一警示行為,之後,該警示行為透過數位訊號傳送至該睡眠警示裝置,該睡眠警示警示裝置中的控制單元在接收該數位訊號後,即根據該警示行為而產生一驅動訊號,進而驅動該 警示單元產生至少一警示,並提供予使用者,以達警示效果,例如,引起使用者自發的姿勢改變。這樣的方式將有助於節省睡眠警示裝置的電力消耗,例如,若採需更換電池形式時,可延長更換電池的週期。 As for how the acquired physiological information is transmitted between dispersed devices, there are many options. For example, in a preferred embodiment, the sleep physiological information analysis program and the alarm determination program can be preloaded in the sleep physiological device That is, the sleep posture-related information is first compared with a preset posture range to learn whether the sleep posture-related information meets the preset posture range, and a warning action is determined when it meets the preset posture range, After that, the warning behavior is transmitted to the sleep warning device through a digital signal. After receiving the digital signal, the control unit in the sleep warning device generates a driving signal according to the warning behavior, and then drives the The warning unit generates at least one warning and provides it to the user to achieve a warning effect, for example, to cause the user to spontaneously change posture. This method will help save the power consumption of the sleep warning device. For example, if the battery needs to be replaced, the battery replacement cycle can be extended.
替代地,也可實施為由睡眠警示裝置接收來自睡眠生理裝置的睡眠姿勢相關資訊,並利用預載的程式來進行分析及決定警示的提供,在此情形下,該睡眠姿勢相關資訊先透過數位訊號傳送至該睡眠警示裝置,再與一預設姿勢範圍進行比較,以決定警示行為,之後,該睡眠警示裝置的控制單元即根據該警示行為而產生驅動訊號,進而驅動該警示單元產生至少一警示,提供予使用者,以達警示效果;或者,替代地,也可實施為該睡眠姿勢相關資訊於該睡眠生理裝置中進行分析,並得出是否符合該預設姿勢範圍,之後,再透過數位訊號將比較結果傳送至該睡眠警示裝置,並決定警示行為,之後,該睡眠警示裝置的控制單元即根據該警示行為而產生驅動訊號,進而驅動該警示單元產生至少一警示,提供予使用者,以達警示效果。因此,有各種實施可能,可依實際需求而變化,不受限制。 Alternatively, it can also be implemented that the sleep warning device receives the sleep posture related information from the sleep physiological device, and uses the preloaded program to analyze and determine the provision of the alert. In this case, the sleep posture related information is first transmitted through the digital The signal is sent to the sleep warning device and compared with a preset posture range to determine the warning behavior. After that, the control unit of the sleep warning device generates a driving signal according to the warning behavior, and then drives the warning unit to generate at least one A warning is provided to the user to achieve a warning effect; or, alternatively, it can be implemented as the sleep posture related information is analyzed in the sleep physiology device to determine whether it meets the preset posture range, and then through The digital signal transmits the comparison result to the sleep warning device and determines the warning behavior. After that, the control unit of the sleep warning device generates a driving signal according to the warning behavior, and then drives the warning unit to generate at least one warning for the user , In order to achieve the warning effect. Therefore, there are various implementation possibilities, which can be changed according to actual needs without limitation.
而當具有外部裝置時,則有更多的選擇,例如,睡眠生理資訊分析程式以及警示決定程式可皆預載於外部裝置中,在此情形下,該睡眠生理裝置在取得睡眠姿勢相關資訊後,會傳送至該外部裝置,接著,該外部裝置執行睡眠生理資訊分析程式以及警示決定程式,以決定是否需要提供警示及如何提供警示,並將警示行為透過數位訊號傳送至該睡眠警示裝置,而該睡眠警示裝置的控制單元在接收該數位訊號後,即據以產生驅動訊號,以驅動警示單元提供警示;或者,替代地,也可僅睡眠生理資訊分析程式或僅警示決定程式預載於外部裝置中,因此,可視實際操作流程及實際需求而加以變化,沒有限制。 When there is an external device, there are more choices. For example, the sleep physiological information analysis program and the warning determination program can be pre-loaded in the external device. In this case, the sleep physiological device obtains sleep posture related information , Will be sent to the external device, and then the external device will execute the sleep physiological information analysis program and the warning determination program to determine whether and how to provide the warning, and send the warning behavior to the sleep warning device through a digital signal, and After receiving the digital signal, the control unit of the sleep warning device generates a driving signal to drive the warning unit to provide warning; alternatively, only the sleep physiological information analysis program or only the warning determination program can be preloaded externally In the device, therefore, it can be changed depending on the actual operation process and actual needs, without limitation.
進一步地,也可增設生理感測器,以取得其他的睡眠呼吸生理資訊,一方面可用來確認執行睡眠姿勢訓練的效果,例如,睡眠呼吸事件的發生次數是否減少,另一方面也可作為執行睡眠呼吸生理反饋訓練的依據,以在同個睡眠期間與睡眠姿勢訓練一起執行,更增效果,舉例而言,可設置於睡眠生理裝置上,且根據睡眠生理裝置設置於不同的身體中軸位 置,可有不同的選擇組合,例如,當裝置設置於額頭時,可利用光感測器、加速度器、麥克風、壓電振動感測器等,取得血氧濃度、心率、打鼾相關資訊等;當裝置設置於口鼻之間時,可利用呼吸氣流感測器、光感測器、加速度器、麥克風、壓電振動感測器等,取得呼吸氣流變化、心率、打鼾相關資訊等;當裝置設置於軀幹時,可利用光感測器、加速度器、麥克風、壓電動作感測器等,取得心率、打鼾相關資訊、呼吸動作等;另外,增設的生理感測器也可設置於睡眠警示裝置、或外部裝置上,並根據設置位置而選擇適合的生理感測器,不受限制。而上述的這些睡眠呼吸生理資訊則可進一步用以得出睡眠呼吸暫停事件,睡眠呼吸低通氣事件,氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件,打鼾事件等,故沒有限制。 Further, physiological sensors can also be added to obtain other physiological information of sleep breathing. On the one hand, it can be used to confirm the effect of performing sleep posture training, for example, whether the number of sleep breathing events is reduced, and on the other hand, it can also be used as an implementation The basis of sleep breathing physiological feedback training is to be performed together with sleep posture training during the same sleep period to increase the effect. For example, it can be set on a sleep physiological device and set in different body axis positions according to the sleep physiological device For example, when the device is installed on the forehead, optical sensors, accelerometers, microphones, piezoelectric vibration sensors, etc. can be used to obtain blood oxygen concentration, heart rate, snoring related information, etc.; When the device is installed between the nose and mouth, it can use respiratory airflow sensors, light sensors, accelerometers, microphones, piezoelectric vibration sensors, etc., to obtain respiratory airflow changes, heart rate, snoring related information, etc.; When set on the torso, light sensors, accelerometers, microphones, piezoelectric motion sensors, etc. can be used to obtain heart rate, snoring-related information, breathing movements, etc.; in addition, additional physiological sensors can also be set for sleep warning On the device, or an external device, and select a suitable physiological sensor according to the setting position, without limitation. The above physiological information of sleep breathing can be further used to derive sleep apnea events, sleep apnea events, oxygen desaturation events, low oxygen level events, heart rate changes, sleep breathing events, snoring events, etc., so there is no limit. .
在接下來的敘述中,有關分散架構的內容皆屬可獨立運作的複數個裝置所構成的無線分散架構,各裝置間若執行無線溝通時,皆為類似的情形,因此,上述有關不同裝置間及/或與外部裝置間的資訊傳輸方式、資訊的分析、警示行為的決定等各種實施選擇的內容也同樣適用,即不再贅述。 In the following description, the content of the distributed architecture is a wireless distributed architecture composed of multiple devices that can operate independently. If wireless communication is performed between each device, the situation is similar. Therefore, the above-mentioned related to different devices And/or information transmission methods with external devices, analysis of information, decisions on warning behaviors, and other implementation options are also applicable, so I won’t repeat them here.
另外,亦需注意地是,正如本領域具通常知識者所熟知,無線分散系統中的各裝置的運作必須具備控制單元、無線通訊模組及/或有線通訊模組、電力模組等的基本電路配置,而由於此些皆為重複的內容,故在接下來所有實施例的敘述中,將予以省略而不贅述,且本案所有裝置的實際電路配置並不因此而受限。 In addition, it should also be noted that, as is well known to those with ordinary knowledge in the field, the operation of each device in a wireless distributed system must have basic control units, wireless communication modules and/or wired communication modules, power modules, etc. The circuit configuration, and since these are repetitive content, in the description of all the following embodiments, it will be omitted without repeating it, and the actual circuit configuration of all devices in this case is not limited thereby.
接著,另一種實施可能是,一睡眠系統實施為包括二個裝置,一睡眠警示裝置以及一睡眠呼吸生理裝置,兩者皆透過穿戴結構而設置於一使用者身上,其中,該睡眠警示裝置具有姿勢感測器,以取得使用者的睡眠姿勢相關資訊,以及警示單元,用以提供至少一警示給使用者,而該睡眠呼吸生理裝置則具有生理感測器,以取得使用者於睡眠期間的睡眠呼吸生理資訊;在此例子中,由於可取得睡眠姿勢,亦可取得睡眠呼吸生理資訊,故無論是姿勢性的睡眠呼吸障礙,或是非姿勢性的睡眠呼吸障礙,都可在此系統中獲得解決,等於是結合了睡眠姿勢訓練以及睡眠呼吸生理 反饋訓練兩者,可以全面地改善睡眠呼吸障礙,且具優勢地是,位於睡眠警示裝置的該警示單元將可具選擇地根據不同的睡眠生理資訊而產生警示,例如,可根據睡眠姿勢相關資訊產生警示,可根據睡眠呼吸生理資訊而產生警示,也可根據睡眠姿勢相關資訊以及睡眠呼吸生理資訊兩者而產生警示,等於提供了雙重的功效,對任何一種類型的患者,或是混合症狀的患者,或是尚不知自身為何種類型的患者而言,都可有效提供解決方案,相當具優勢。 Then, another implementation may be that a sleep system is implemented to include two devices, a sleep warning device and a sleep breathing physiological device, both of which are set on a user through a wearable structure, wherein the sleep warning device has The posture sensor is used to obtain the user's sleep posture related information, and the warning unit is used to provide at least one warning to the user, and the sleep breathing physiological device has a physiological sensor to obtain the user’s sleep during sleep Sleep breathing physiological information; in this example, since sleep posture can be obtained, sleep breathing physiological information can also be obtained, so whether it is postural sleep breathing disorder or non-postural sleep breathing disorder, it can be obtained in this system Solving is equivalent to combining sleep posture training and sleep breathing physiology Both feedback training can comprehensively improve sleep-disordered breathing. Advantageously, the warning unit in the sleep warning device can selectively generate warnings based on different sleep physiological information, for example, based on sleep posture related information Alarms can be generated based on the physiological information of sleep breathing, and can also be generated based on both sleep posture related information and sleep breathing physiological information, which is equivalent to providing a double effect for any type of patient or mixed symptoms For patients, or for those who don't know what type of patient they are, they can effectively provide solutions, which is quite advantageous.
其中,該睡眠姿勢相關資訊是與一預設姿勢範圍進行比較,以瞭解是否符合該預設姿勢範圍,而該睡眠呼吸生理資訊則是與一預設條件進行比較,並瞭解是否符合該預設條件,因此,警示行為的決定可選擇基於兩者的其中之一或綜合考慮兩者,沒有限制。 Wherein, the sleep posture related information is compared with a preset posture range to find out whether it meets the preset posture range, and the sleep breathing physiological information is compared with a preset condition to find out whether it conforms to the preset Conditions, therefore, the decision of warning behavior can be based on one of the two or a comprehensive consideration of both, there is no limit.
進一步地,這樣的系統還可有不同的操作方式。由於睡眠警示裝置本身已具備姿勢感測器以及警示單元,因此,其可單獨使用,以進行睡眠姿勢訓練,也可與睡眠呼吸生理裝置一起共同運作,以讓效果加成,如此即提供了使用者另一種選擇可能性,例如,可選擇要在身上設置幾個裝置,以及要選擇以哪些睡眠生理資訊作為警示的基礎等。而這也是採用分散形式設計才會具有的優勢。 Furthermore, such a system can also have different modes of operation. Since the sleep warning device itself has a posture sensor and a warning unit, it can be used alone for sleep posture training, or it can work with the sleep breathing physiological device to increase the effect, so that it can be used Another option is to choose how many devices should be installed on the body, and which sleep physiological information should be selected as the basis for warning. And this is also the advantage that a decentralized design will have.
其中,當該睡眠警示裝置實施為設置於軀幹時,較佳地是採用振動警示的方式,而當被設置於額頭或頸部時,則可選擇利用振動警示或聲音警示的方式,沒有限制。 Wherein, when the sleep warning device is implemented on the torso, it is better to adopt a vibration warning method, and when it is installed on the forehead or neck, it can choose to use vibration warning or sound warning, without limitation.
再者,基於分散形式所帶來的優勢則是,該生理感測器的種類與設置位置,以及所取得之睡眠呼吸生理資訊的種類,都可以有不同的選擇,也因此,用來決定的該預設條件亦會隨著所選擇的生理感測器而有所不同,以及用來設置該睡眠呼吸生理裝置的穿戴結構亦會有所不同。 Furthermore, the advantage based on the dispersed form is that the type and location of the physiological sensor, as well as the type of sleep-respiratory physiological information obtained, can be selected in different ways. Therefore, it is used to determine The preset conditions will also vary with the selected physiological sensor, and the wearing structure used to set the sleep breathing physiological device will also vary.
舉例而言,睡眠呼吸生理裝置將具選擇地可採用各種融入一般生活習慣的實施方式,例如,腕戴形式或指戴形式,且可利用光感測器、或利用麥克風取得睡眠呼吸生理資訊,例如,心率,血氧濃度,呼吸行為,打鼾相關資訊,呼吸聲變化等,在此情形下,智慧型穿戴裝置,如智慧手 錶,智慧手環,智慧耳機等,即適合使用在此情形中,另外,也可實施為設置於身體附近非穿戴的形式,例如,可利用智慧型手機中的麥克風偵測打鼾、呼吸聲,取得睡眠呼吸生理資訊,而根據所取得的睡眠呼吸生理資訊的不同,睡眠呼吸事件分析程式就可進一步取得各種睡眠呼吸事件,例如,氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件,打鼾事件,睡眠呼吸暫停事件,以及睡眠呼吸低通氣事件等,故有各種可能,沒有限制。如此一來,只需再搭配設置於軀幹/頭部/頸部的睡眠警示裝置以提供睡眠姿勢偵測以及振動警示,提供兩種訓練方式的睡眠系統就能與一般日常生活會使用的裝置整合在一起,對使用普及度而言,相當具有優勢,例如,該睡眠警示裝置可設置於額頭以及該睡眠呼吸生理裝置可設置於手指,另外,該睡眠警示裝置也可設置於頸部以及該睡眠呼吸生理裝置可實施為智慧型手機,故有各種可能。 For example, the sleep-respiratory physiology device can selectively adopt various implementations that are integrated into general living habits, such as wrist-worn or finger-worn, and can use light sensors or microphones to obtain sleep-respiration physiological information. For example, heart rate, blood oxygen concentration, respiratory behavior, snoring related information, changes in breathing sound, etc. In this case, smart wearable devices, such as smart hands Watches, smart bracelets, smart headphones, etc., are suitable for use in this situation. In addition, they can also be implemented as non-wearable forms placed near the body. For example, the microphone in a smart phone can be used to detect snoring and breathing sounds. Obtain sleep respiratory physiological information, and according to the obtained sleep respiratory physiological information, the sleep respiratory event analysis program can further obtain various sleep respiratory events, such as oxygen desaturation events, low oxygen level events, heart rate changes sleep respiratory events , Snoring events, sleep apnea events, and sleep apnea events, etc., so there are various possibilities without limitation. In this way, you only need to pair with the sleep alert device installed on the torso/head/neck to provide sleep posture detection and vibration alert. The sleep system that provides two training methods can be integrated with devices used in ordinary daily life. Together, it has considerable advantages in terms of popularity. For example, the sleep alert device can be placed on the forehead and the sleep-respiratory physiological device can be placed on the fingers. In addition, the sleep alert device can also be placed on the neck and the sleeper. The respiratory physiological device can be implemented as a smart phone, so there are various possibilities.
又一種實施可能是,一睡眠系統包括二個裝置,一睡眠警示裝置以及一睡眠呼吸生理裝置,兩者皆透過穿戴結構而設置於一使用者身上,其中,該睡眠警示裝置具有警示單元,用以提供至少一警示給使用者,而該睡眠呼吸生理裝置則具有生理感測器,以取得使用者於睡眠期間的至少一睡眠呼吸生理資訊,並且,透過無線溝通的方式,該睡眠呼吸生理裝置所取得的睡眠呼吸生理資訊被作為該警示單元產生警示的基礎,其中,該睡眠呼吸生理資訊會被作為基礎而得出至少一睡眠呼吸事件,並決定一警示行為,且根據該警示行為所產生的一驅動訊號,會驅使警示單元產生至少一警示,並提供予使用者,以達警示效果,例如,讓使用者被短暫的喚醒,並恢復正常呼吸功能。 Another implementation may be that a sleep system includes two devices, a sleep warning device and a sleep breathing physiological device, both of which are set on a user through a wearable structure, wherein the sleep warning device has a warning unit, In order to provide at least one warning to the user, the sleep breathing physiological device has a physiological sensor to obtain at least one sleep breathing physiological information of the user during sleep, and through wireless communication, the sleep breathing physiological device The acquired physiological information of sleep breathing is used as the basis for the warning unit to generate a warning, wherein the physiological information of sleep breathing is used as the basis to derive at least one sleep breathing event, and determine a warning behavior, and the warning behavior is generated A driving signal of, will drive the warning unit to generate at least one warning and provide it to the user to achieve the warning effect, for example, to let the user be briefly awakened and resume normal breathing function.
上述的睡眠系統即為一分散形式的睡眠呼吸生理反饋訓練系統,而透過這樣的設置,警示單元將可自由地選擇為觸覺或聽覺的形式,並設置於任何適合且可有效感受警示的位置,另外,生理感測器的種類及欲取得的睡眠呼吸生理資訊亦可自由選擇,例如,不同使用者的睡眠呼吸障礙情形都不同,適合的生理感測器亦不同,故透過分散的設計,使得應用範圍變得更廣也更為靈活,舉例而言,生理感測器可實施為,例如,光 感測器,加速度器,呼吸氣流感測器,壓電動作感測器,阻抗偵測電極,壓電振動感測器,及/或麥克風,並透過設置於,例如,頭部,耳朵,頸部,軀幹,腕部,手指等位置,以取得包括,但不限制於,打鼾相關資訊,呼吸聲變化,呼吸動作,呼吸氣流變化,呼吸行為,心率,血氧濃度等的睡眠呼吸生理資訊,進而決定各種睡眠呼吸事件,例如,氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件,打鼾事件,睡眠呼吸暫停事件,以及睡眠呼吸低通氣事件等。 The above-mentioned sleep system is a decentralized form of sleep breathing physiological feedback training system, and through this setting, the warning unit can be freely selected as a tactile or auditory form, and set in any suitable and effective position for feeling the warning. In addition, the types of physiological sensors and the sleep-respiratory physiological information to be obtained can also be freely selected. For example, different users have different sleep-disordered breathing conditions, and the suitable physiological sensors are also different. Therefore, through the decentralized design, The application range becomes wider and more flexible. For example, the physiological sensor can be implemented as, for example, a light Sensors, accelerometers, respiratory and flu sensors, piezoelectric motion sensors, impedance detection electrodes, piezoelectric vibration sensors, and/or microphones, and are installed on, for example, the head, ears, and neck To obtain the physiological information of sleep and breathing including, but not limited to, snoring-related information, changes in breathing sound, breathing movements, changes in respiratory airflow, breathing behavior, heart rate, blood oxygen concentration, etc., In turn, various sleep breathing events are determined, such as oxygen desaturation events, low oxygen level events, heart rate changes, sleep breathing events, snoring events, sleep apnea events, and sleep breathing hypopnea events.
進一步,該睡眠呼吸生理裝置還可再包括姿勢感測器,以取得睡眠姿勢相關資訊,如此一來,即提供了可進行睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的選擇,此時,則需注意選擇如頭部、頸部、軀幹等可取得睡眠姿勢的設置位置。 Furthermore, the sleep breathing physiological device may further include a posture sensor to obtain sleep posture related information. In this way, it provides options for sleep posture training and/or sleep respiration physiological feedback training. In this case, It is necessary to pay attention to choosing the setting positions such as the head, neck, torso, etc. that can obtain the sleeping position.
特別地是,在一較佳實施例中,睡眠警示裝置可選擇採用觸覺警示並設置於腕部,以增添使用方便性,更方便地是,可以直接利用市面常見之具振動功能的各種穿戴式裝置,例如,智慧手錶,智慧手環等,作為警示裝置,而且也可直接利用穿戴式裝置上的資訊提供介面來提供各種資訊,對使用者而言,將是極具成本效益的選擇,當然也可利用一外部裝置,例如,智慧型手機,上的資訊提供介面,沒有限制。 In particular, in a preferred embodiment, the sleep warning device can choose to adopt tactile warning and be arranged on the wrist to increase the convenience of use. More conveniently, it can directly use various common wearables with vibration function in the market. Devices, such as smart watches, smart bracelets, etc., are used as warning devices, and can also directly use the information providing interface on the wearable device to provide various information. It will be a very cost-effective choice for users. Of course The information providing interface on an external device, such as a smart phone, can also be used without limitation.
再者,另一種實施可能是,一睡眠系統包括二個裝置,一第一睡眠生理裝置具有一第一睡眠生理感測器,以取得一第一睡眠生理資訊,以及一第二睡眠生理裝置具有一第二睡眠生理感測器,以取得第二睡眠生理資訊,再者,至少一警示單元可實施為落在該第一睡眠生理裝置及/或該第二睡眠生理裝置中,以根據睡眠生理資訊而提供警示,並且,透過無線溝通,該警示單元可實施為根據該第一睡眠生理資訊、該第二睡眠生資訊、或該第一睡眠生理資訊以及該第二睡眠生理資訊而提供警示。 Furthermore, another implementation may be that a sleep system includes two devices, a first sleep physiological device has a first sleep physiological sensor to obtain a first sleep physiological information, and a second sleep physiological device has A second sleep physiology sensor to obtain second sleep physiology information, and further, at least one warning unit can be implemented to fall into the first sleep physiology device and/or the second sleep physiology device to be based on sleep physiology Information provides a warning, and through wireless communication, the warning unit can be implemented to provide a warning based on the first sleep physiological information, the second sleep physiological information, or the first sleep physiological information and the second sleep physiological information.
其中,該第一睡眠生理裝置以及該第二睡眠生理裝置皆實施為穿戴形式,而根據所設置位置的不同,所使用的生理感測器以及可取得的睡眠生理資訊,亦相應有所不同。舉例而言,可設置的位置包括,但不限制於,頭部,頸部,軀幹,上肢等,可使用的生理感測器包括,但不限 制於,光感測器,加速度器,呼吸氣流感測器,阻抗偵測電極壓電動作感測器,壓電振動感測器,麥克風,腦電電極,眼電電極,以及肌電電極,以及可取得的睡眠生理資訊包括,但不限制於,打鼾相關資訊,呼吸聲變化,呼吸動作,呼吸氣流變化,呼吸行為,心率,血氧濃度,腦電訊號,眼電訊號,肌電訊號,睡眠姿勢,睡眠身體活動,以及睡眠階段,以及可得出的睡眠呼吸事件包括,但不限於,氧減飽和度事件,低氧水平事件,打鼾事件,心率變化睡眠呼吸事件,睡眠呼吸暫停事件,以及睡眠呼吸低通氣事件。也就是,在此實施可能中,警示行為的決定將可不受限地有各種可能,例如,可選擇打鼾相關資訊搭配血氧濃度,或心率搭配血氧濃度,或睡眠姿勢搭配呼吸動作等,或者,警示行為也可僅根據單個睡眠生理資訊而決定,而另一個則用來瞭解睡眠期間的生理狀態。因此,有各種的可能性,沒有限制。 Wherein, the first sleep physiology device and the second sleep physiology device are implemented in a wearable form, and the physiological sensors used and the available sleep physiological information are also different according to the different positions. For example, the positions that can be set include, but are not limited to, the head, neck, trunk, upper limbs, etc., and physiological sensors that can be used include, but are not limited to Made in, light sensors, accelerometers, breathing air flu sensors, impedance detection electrodes piezoelectric motion sensors, piezoelectric vibration sensors, microphones, brain electrodes, eye electrodes, and electromyography electrodes, And the available sleep physiological information includes, but is not limited to, snoring-related information, changes in breathing sound, breathing movements, changes in respiratory airflow, breathing behavior, heart rate, blood oxygen concentration, brain signals, eye signals, myoelectric signals, Sleep posture, sleep physical activity, and sleep stage, as well as sleep breathing events that can be derived include, but are not limited to, oxygen desaturation events, low oxygen level events, snoring events, heart rate changes, sleep breathing events, sleep apnea events, And sleep apnea hypopnea events. That is, in this implementation possibility, the decision of warning behavior will have various possibilities without limitation, for example, you can choose snoring-related information with blood oxygen concentration, or heart rate with blood oxygen concentration, or sleeping posture with breathing movement, etc., or , The warning behavior can also be determined based on a single sleep physiological information, while the other is used to understand the physiological state during sleep. Therefore, there are various possibilities without limitation.
舉例而言,在一較佳實施例中,該第一睡眠生理裝置可被設置於腕部,並利用光感測器,加速度器,及/或麥克風取得心率,呼吸行為,打鼾相關資訊,呼吸聲變化,睡眠身體活動,及/或睡眠階段,再搭配上該第二睡眠生理裝置設置於手指,利用光感測器取得血氧濃度,如此一來,在同一上肢上即可取得兩種睡眠生理資訊,相當具優勢。 For example, in a preferred embodiment, the first sleep physiology device can be installed on the wrist, and use light sensors, accelerometers, and/or microphones to obtain heart rate, breathing behavior, snoring related information, and breathing Acoustic changes, physical activity during sleep, and/or sleep stages, and the second sleep physiological device is placed on the finger, and the blood oxygen concentration is obtained by the light sensor. In this way, two types of sleep can be obtained on the same upper limb Physiological information is quite advantageous.
當然,除了上述的實施例外,該第一睡眠生理裝置以及該第二睡眠生理裝置亦可依照實際使用需求而被設置於任何可穿戴位置,例如,頭部、耳朵、軀幹、手臂、手腕、手指等,以利用相同或不同生理感測器而取得更多的睡眠生理資訊。 Of course, in addition to the above-mentioned implementation exceptions, the first sleep physiological device and the second sleep physiological device can also be set in any wearable position according to actual use needs, such as head, ears, torso, arms, wrists, fingers Etc., in order to use the same or different physiological sensors to obtain more sleep physiological information.
另外,特別地是,當該第一睡眠生理裝置以及第二睡眠生理裝置的其中之一實施為取得睡眠姿勢的情形下,該警示單元將可根據睡眠姿勢相關資訊及/或睡眠呼吸生理資訊而提供警示,進而執行睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練,另一方面,若該第一睡眠生理裝置以及第二睡眠生理裝置皆實施為取得睡眠呼吸生理資訊時,該警示單元則是根據兩種睡眠呼吸生理資訊的至少其中之一而提供警示,使得兩種睡眠呼吸生理資訊間可作為互補。 In addition, in particular, when one of the first sleep physiology device and the second sleep physiology device is implemented to obtain a sleep posture, the warning unit will be based on sleep posture related information and/or sleep breathing physiological information. Provide warnings to perform sleep posture training and/or sleep breathing physiological feedback training. On the other hand, if both the first sleep physiological device and the second sleep physiological device are implemented to obtain sleep breathing physiological information, the warning unit is based on At least one of the two kinds of sleep breathing physiological information provides a warning, so that the two kinds of sleep breathing physiological information can be complementary.
再者,當所採用的穿戴形式與日常使用的智慧穿戴裝置一樣,例如,腕戴形式,耳戴形式等,同樣可利用智慧穿戴裝置來達成上述的行為,在使用上相當方便;此外,該第一睡眠生理裝置以及該第二睡眠生理裝置中具有警示單元者,將可進一步選擇單獨使用,以執行對於睡眠呼吸障礙的訓練,也可再選擇與另一裝置共同一起運作而提供更多功能。 Furthermore, when the wearable form used is the same as that of smart wearable devices used daily, for example, wrist wear, ear wear, etc., smart wearable devices can also be used to achieve the above behaviors, which is quite convenient in use; in addition, the Those with a warning unit in the first sleep physiology device and the second sleep physiology device can further choose to be used alone to perform training for sleep-disordered breathing, or they can choose to work together with another device to provide more functions .
另外,除了用於進行改善睡眠呼吸障礙的訓練外,分散式的系統亦可應用於睡眠呼吸障礙的評估,以讓評估結果更為準確。 In addition, in addition to training to improve sleep-disordered breathing, the decentralized system can also be applied to the assessment of sleep-disordered breathing to make the assessment results more accurate.
其中一種實施可能是,一睡眠系統實施為包括二個裝置,一睡眠生理裝置以及一睡眠呼吸生理裝置,該睡眠生理裝置具有姿勢感測器,設置於使用者身體上,以取得睡眠期間的睡眠姿勢,以及該睡眠呼吸生理裝置則具有生理感測器,以取得睡眠呼吸生理資訊,而透過分散的設計,無論是睡眠姿勢相關資訊,或是睡眠呼吸生理資訊,都可更為準確地在適當的位置獲得,如此所帶來的優勢是,將可具彈性地針對不同的生理狀況而提供不同的睡眠呼吸生理資訊,例如,因不再受限於取得睡眠姿勢的位置,故可自由地選擇檢測打鼾事件,也可選擇檢測氧減飽和事件,或是其他的睡眠呼吸事件,無論何者皆可進行準確的評估,之後,再配合與睡眠姿勢一起進行分析,自然能更準確地判斷發生睡眠呼吸事件時,符合預設姿勢範圍及超出預設姿勢範圍的比例,例如,仰躺及非仰躺期間的比例,故可提供使用者,例如,透過資訊提供介面,一睡眠呼吸事件姿勢相關性資訊,進而瞭解發生睡眠呼吸事件與睡眠姿勢之間的相關性為高或低。 One implementation may be that a sleep system is implemented to include two devices, a sleep physiology device and a sleep respiration physiology device. The sleep physiology device has a posture sensor and is arranged on the user's body to obtain sleep during sleep. The posture, and the sleep-respiratory physiological device has physiological sensors to obtain sleep-respiratory physiological information, and through the decentralized design, whether it is sleep posture-related information or sleep-respiratory physiological information, it can be more accurate and appropriate The advantage of obtaining the position of the sleep position is that it will flexibly provide different physiological information of sleep and breathing for different physiological conditions. For example, since it is no longer limited to the position to obtain the sleep position, it can be freely selected Detecting snoring events, you can also choose to detect oxygen desaturation events, or other sleep breathing events, no matter which can be accurately assessed, and then combined with sleep posture analysis, naturally can more accurately determine the occurrence of sleep breathing During the event, the proportions that meet the preset posture range and exceed the preset posture range, for example, the proportions during lying and non-spine periods, can provide users with, for example, information about the posture related information of sleep breathing events through the information providing interface , And then understand whether the correlation between the occurrence of sleep breathing events and sleep posture is high or low.
再者,同樣地,這樣的配置也使得智慧型裝置能夠進一步被應用作為該睡眠呼吸生理裝置,以進行睡眠呼吸生理資訊的偵測,例如,可利用智慧手錶上的光感測器、麥克風,或是智慧手機上的麥克風等,且具優勢地是,由於此系統著重於評估是否具有睡眠呼吸障礙,以及其與睡眠姿勢的關係,資訊的提供尤其重要,因此,就可自然利用智慧型裝置上既有的資訊提供介面,例如,螢幕、LED、發聲元件等,作為本系統的資訊提供介面,舉例而言,可利用智慧型穿戴裝置,例如,智慧手錶,智慧手環,的顯示元件,也可利用智慧手機上的顯示元件,而如此的配置不但 簡單方便,也符合使用者的日常使用行為。 Moreover, similarly, this configuration also enables the smart device to be further used as the sleep-breathing physiological device for the detection of sleep-breathing physiological information. For example, the light sensor and microphone on the smart watch can be used. Or a microphone on a smartphone, etc. Advantageously, since this system focuses on assessing whether there is sleep breathing disorder and its relationship with sleep posture, the provision of information is particularly important, so smart devices can be naturally used The existing information providing interfaces on the above, such as screens, LEDs, sound components, etc., are used as the information providing interfaces of this system. For example, smart wearable devices, such as smart watches, smart bracelets, and display components can be used. You can also use the display elements on your smartphone, and this configuration not only It is simple and convenient, and is also in line with the daily use behavior of users.
舉例而言,在實際使用時,可於身體的軀幹設置睡眠生理裝置,再配合將睡眠呼吸生理裝置設置於手指,以利用光感測器取得血氧濃度以及可進一步計算獲得的ODI,或者也可設置於手腕,以利用光感測器取得平均血氧濃度變化、心率、呼吸行為,或利用麥克風取得打鼾相關資訊等各種睡眠呼吸相關生理資訊,以得知睡眠呼吸事件的發生與睡眠姿勢的關係,另外,耳朵也是相當適合的設置位置,可設置光感測器,並根據設置位置的不同所取得的PPG訊號可得出血氧濃度,也可得出呼吸行為、心率等,也可設置麥克風而取得打鼾所產生的聲音,或是加速度器取得打鼾所產生的振動,又也可在口鼻間設置呼吸氣流感測器,以瞭解是否發生睡眠呼吸暫停事件及/或睡眠呼吸低通氣事件。因此,有各種設置位置的可能,沒有限制。 For example, in actual use, a sleep physiology device can be installed on the torso of the body, and then the sleep breathing physiology device can be installed on the fingers to obtain the blood oxygen concentration and the ODI that can be further calculated by the light sensor, or also It can be set on the wrist to use the light sensor to obtain the average blood oxygen concentration change, heart rate, breathing behavior, or use the microphone to obtain various sleep breathing related physiological information such as snoring information, so as to know the occurrence of sleep breathing events and sleep posture In addition, the ear is also a very suitable setting position. The light sensor can be set, and the blood oxygen concentration can be obtained according to the PPG signal obtained by the different setting position, and the breathing behavior, heart rate, etc. can also be obtained. Microphone to obtain the sound produced by snoring, or the accelerometer to obtain the vibration produced by snoring, and a respiratory flu detector can also be installed between the mouth and nose to understand whether a sleep apnea event and/or sleep apnea event occurs . Therefore, there are various possibilities for setting positions without limitation.
其中,當選擇設置於身體上取得生理資訊時,可利用穿戴結構進行設置,例如,黏附結構,綁帶,頭戴結構,指戴結構,腕戴結構,耳戴結構等,且可同時採用二個穿戴結構,可依實際實施情形而因應變化,沒有限制。 Among them, when choosing to set on the body to obtain physiological information, the wearable structure can be used for setting, such as adhesion structure, strap, head-wearing structure, finger-wearing structure, wrist-wearing structure, ear-wearing structure, etc., and both can be used simultaneously. The wearing structure can be changed according to the actual implementation situation without limitation.
再進一步,還可在系統中設置警示單元,例如,設置於睡眠生理裝置中,及/或睡眠呼吸生理裝置中,以對睡眠呼吸障礙進行改善,舉例而言,若發現仰躺期間的睡眠呼吸事件發生率較高,則可針對仰躺期間發出警示,例如,振動模組產生振動,以達成自發性的睡眠姿勢改變,進而改善姿勢性睡眠呼吸暫停/低通氣、打鼾,及/或也可以針對分析睡眠呼吸生理資訊所得出的睡眠呼吸事件而進行警示,例如,出現打鼾事件時,或出現氧減飽和度事件時,以進行睡眠呼吸生理反饋訓練,在此情形下,此系統即變為可同時兼顧評估以及改善訓練兩種程序,舉例而言,一開始,使用者可先不執行警示,而是利用二個裝置先於睡眠期間進行評估,以得知睡眠呼吸障礙的有無,以及其與睡眠姿勢的關係,之後,當發現睡眠呼吸事件的發生確實與睡眠姿勢有高相關性,例如,在仰躺時有較高發生比例,此時,就可進一步使用此系統的改善訓練功能,以執行睡眠姿勢訓練, 或者發現睡眠呼吸事件與睡眠姿勢的相關性較低,則可選擇執行睡眠呼吸生理反饋訓練,等於一套系統可提供多種功能,極具優勢。 Furthermore, a warning unit can also be provided in the system, for example, in a sleep physiology device, and/or sleep respiration physiology device, to improve sleep breathing disorder, for example, if you find sleep breathing during lying on your back If the event rate is higher, warnings can be issued during lying on their backs. For example, the vibration module generates vibrations to achieve spontaneous sleep posture changes, thereby improving postural sleep apnea/hypopnea, snoring, and/or also Alerts on sleep breathing events derived from the analysis of sleep breathing physiological information. For example, when a snoring event occurs, or when an oxygen desaturation event occurs, the sleep breathing physiological feedback training is performed. In this case, the system becomes Both evaluation and training improvement procedures can be taken into account at the same time. For example, at the beginning, the user may not execute the warning first, but use two devices to evaluate before sleep to know the presence or absence of sleep disordered breathing and its Afterwards, when it is found that the occurrence of sleep breathing events is indeed highly correlated with the sleeping posture, for example, when lying on your back, there is a higher incidence. At this time, you can further use the system to improve training functions. To perform sleep posture training, Or if you find that the correlation between sleep breathing events and sleep posture is low, you can choose to perform sleep breathing physiological feedback training, which is equivalent to a system that can provide multiple functions, which is very advantageous.
另一種實施可能是,一睡眠系統實施為包括二個裝置,一睡眠警示裝置以及一睡眠呼吸生理裝置,該睡眠警示裝置具有姿勢感測器,設置於使用者身體上,以取得睡眠期間的睡眠姿勢,以及警示單元,用以提供至少一警示給使用者,而該睡眠呼吸生理裝置則具有生理感測器,以取得使用者於睡眠期間的睡眠呼吸生理資訊,在此配置下,首先,該睡眠警示單元由於可提供警示,因此可單獨使用,以根據睡眠姿勢而提供警示,亦即,提供睡眠姿勢訓練,而進一步地,當與該睡眠呼吸生理裝置一起使用時,則該睡眠呼吸生理裝置所取得的睡眠呼吸生理資訊,將可用來確認提供警示的改善效果,例如,睡眠呼吸中止、打鼾等睡眠呼吸事件的發生是否因睡眠姿勢的改變而有所減少,如此一來,透過資訊提供介面而得知各種相關資訊,例如,警示執行的次數、時間點,不同睡眠姿勢的分布及比例,睡眠呼吸事件的發生次數、時間點等,使用者將能明確地得知,所執行的睡眠姿勢訓練是否具有效果以及效果為何,同樣相當具優勢。 Another implementation may be that a sleep system is implemented to include two devices, a sleep warning device and a sleep breathing physiology device. The sleep warning device has a posture sensor and is set on the user's body to obtain sleep during sleep. The posture and the warning unit are used to provide at least one warning to the user. The sleep breathing physiological device has a physiological sensor to obtain the sleep breathing physiological information of the user during sleep. In this configuration, first, the Since the sleep warning unit can provide warnings, it can be used alone to provide warnings according to sleep posture, that is, to provide sleep posture training, and further, when used with the sleep breathing physiological device, the sleep breathing physiological device The acquired physiological information of sleep breathing can be used to confirm the effect of providing warnings, for example, whether the occurrence of sleep breathing events such as sleep apnea and snoring is reduced due to changes in sleep posture. In this way, through the information providing interface Knowing all kinds of related information, such as the number and time point of warning execution, the distribution and proportion of different sleep postures, the number and time point of sleep breathing events, etc., the user will be able to clearly know the sleep posture performed Whether the training is effective and what is the effect is also quite advantageous.
另外,為了瞭解採用睡眠姿勢訓練前後的差異,還可實施為,一開始該睡眠警示裝置中的該警示單元先不提供警示,而是僅取得使用者的睡眠姿勢,再配合上該睡眠呼吸生理裝置取得睡眠期間的睡眠呼吸生理資訊,結合兩者,就可得知睡眠呼吸事件的發生與不同睡眠姿勢之間的關係,如此一來,當開始執行睡眠姿勢訓練時,就能進一步獲得提供警示與否的效果,例如,不同睡眠姿勢的比例變化,以及睡眠呼吸事件的發生是否減少等。 In addition, in order to understand the difference between before and after the use of sleep posture training, it can also be implemented as that the warning unit in the sleep warning device does not provide a warning at first, but only obtains the user’s sleeping posture, and then cooperates with the sleep breathing physiological The device obtains the physiological information of sleep breathing during sleep and combines the two to know the relationship between the occurrence of sleep breathing events and different sleep postures. In this way, when the sleep posture training is started, further warnings can be obtained The effect of whether or not, for example, the ratio of different sleep postures, and whether the occurrence of sleep breathing events is reduced.
再者,透過這樣的設置,等於可長期持續偵測,例如,每日使用追蹤,睡眠姿勢訓練期間的睡眠生理資訊,因此可根據所取得的睡眠生理資訊而調整警示行為相關的設定值,一來可讓警示的提供更為有效,二來也可讓使用者睡眠被打擾的程度最小化。 Moreover, through this setting, it is equivalent to long-term continuous detection, such as daily use tracking, sleep physiological information during sleep posture training, so the setting values related to warning behaviors can be adjusted according to the obtained sleep physiological information. This can make the provision of warnings more effective, and secondly, it can also minimize the interruption of sleep.
而且,由於該睡眠警示裝置同時具有姿勢感測器以及警示單元,因此,當使用者已確知自己的睡眠呼吸障礙與睡眠姿勢具高相關性, 且亦已確認所提供的警示可達成改善效果時,就可僅單獨使用該睡眠警示裝置,簡化身上的配置,之後,可在一段時間後,例如,每個月次,再次與睡眠呼吸生理裝置一起使用,以因應有可能出現的生理狀況改變,並據以調整警示行為的內容,而讓睡眠姿勢訓練的效果持續;此外,由於人體在經過一段時間的睡眠姿勢訓練後,會達成睡眠姿勢的習慣養成,例如,變成習慣非仰躺的睡姿,在此情形下,也可試著暫停睡眠姿勢訓練,而僅執行睡眠姿勢及/或睡眠呼吸生理資訊的偵測,進而作為調整使用情形的依據。 Moreover, because the sleep warning device has a posture sensor and a warning unit at the same time, when the user has been sure that his sleep breathing disorder has a high correlation with his sleep posture, And when it has been confirmed that the provided warning can achieve the improvement effect, the sleep warning device can be used alone to simplify the configuration of the body. After a period of time, for example, once a month, it can be combined with the sleep breathing physiological device again Used together to respond to possible changes in physiological conditions and adjust the content of warning behaviors accordingly to allow the effect of sleep posture training to continue; in addition, because the human body will achieve sleep posture after a period of sleep posture training Habit formation, for example, becoming accustomed to a sleeping position that is not lying on your back. In this case, you can also try to suspend sleep posture training, and only perform the detection of sleep posture and/or sleep breathing physiological information, and then adjust the use situation in accordance with.
在實際使用時,舉例而言,設置於身體的軀幹、頭部、或頸部附近的睡眠警示裝置,可配合設置於手指的睡眠呼吸生理裝置,透過光感測器取得血氧濃度以及ODI,或也可配合設置於手腕的睡眠呼吸生理裝置,透過光感測器取得平均血氧濃度變化,心率,呼吸行為等各種睡眠呼吸相關生理資訊,以進行確認及/或進行睡眠呼吸生理反饋訓練,另外,耳朵也是相當適合的設置位置,可設置光感測器,並根據設置位置的不同所取得的PPG訊號可得出血氧濃度,也可得出呼吸行為、心率等,也可設置麥克風而取得打鼾所產生的聲音,或是加速度器取得打鼾所產生的振動,又也可在口鼻間設置呼吸氣流感測器,以瞭解是否發生睡眠呼吸暫停事件及/或睡眠呼吸低通氣事件。因此,有各種設置位置的可能,沒有限制。 In actual use, for example, a sleep warning device installed near the torso, head, or neck of the body can cooperate with a sleep-respiratory physiological device installed on the finger to obtain blood oxygen concentration and ODI through a light sensor. Or it can also cooperate with a sleep-respiration physiological device installed on the wrist to obtain various sleep-respiration-related physiological information such as average blood oxygen concentration changes, heart rate, breathing behavior, etc. through a light sensor for confirmation and/or sleep-respiration physiological feedback training. In addition, the ear is also a very suitable setting position. A light sensor can be set. According to the PPG signal obtained by the setting position, the blood oxygen concentration can be obtained, and the breathing behavior, heart rate, etc. can also be obtained. The microphone can also be set. Obtain the sound produced by snoring, or the vibration produced by snoring by the accelerometer, and a respiratory flu detector can also be installed between the nose and mouth to understand whether a sleep apnea event and/or sleep apnea event occurs. Therefore, there are various possibilities for setting positions without limitation.
而除了上述有關生理資訊取得以及警示提供的各種可能實施方式外,接下來則進一步闡述在分散式架構下的其他相關內容。 In addition to the above-mentioned various possible implementations for obtaining physiological information and providing warnings, the following further elaborates on other related content under the decentralized structure.
首先,有關資訊提供方面,同樣有多種實施選擇。舉例而言,資訊提供介面可設置於兩個裝置的其中之一上,或兩個裝置上皆具有資訊提供介面,或利用外部裝置,例如,手機、手錶,作為資訊提供介面,而且,所提供的資訊內容也有各種可能,例如,睡眠姿勢相關資訊,睡眠生理資訊,睡眠呼吸生理資訊,睡眠呼吸事件,警示行為,警示所達成的效果,警示提供時間等,在睡眠期間的各種資訊皆可透過資訊提供介面而提供予使用者,沒有限制。 First of all, there are also multiple implementation options regarding information provision. For example, the information providing interface can be set on one of the two devices, or both devices have the information providing interface, or using external devices, such as mobile phones, watches, as the information providing interface, and the provided There are also various possibilities for the content of the information, such as sleep posture related information, sleep physiological information, sleep breathing physiological information, sleep breathing events, warning behaviors, warning effects, warning provision time, etc. All kinds of information during sleep are available through The information is provided to the user through the interface without limitation.
再者,本案的分散式架構在採用無線溝通的情形下,還需注 意的是,整個系統中複數個裝置間的操控,以及不同裝置所取得的生理資訊之間如何進行整合。 Furthermore, the distributed architecture of this case needs to be noted when wireless communication is adopted. What is meant is how to integrate the control between multiple devices in the entire system and how the physiological information obtained by different devices is integrated.
首先,系統的操控,例如,起始/結束操作、參數設定等,因應操作方式的不同,有各種可能。舉例而言,可以是透過外部裝置進行操作,例如,於手機中載入應用程式,並透過操作介面及無線通訊而達成對於系統的操控;也可以是在其中一個裝置設置操作介面,而控制與其無線溝通的另一個裝置等;另外,如何啟動系統開始運作,也同樣有各種可能,舉例而言,除了可透過操作介面控制起始外,也可設定為自動開始,例如,可因偵測到被設置於使用者體表而自動開始,也可設置為定時開始等。因此,可因應實際需求而選擇適合的方式,沒有限制。 First of all, the control of the system, such as start/end operation, parameter setting, etc., has various possibilities according to different operation methods. For example, it can be operated through an external device, such as loading an application in a mobile phone, and controlling the system through an operating interface and wireless communication; or setting an operating interface on one of the devices and controlling the Another device for wireless communication, etc.; In addition, there are also various possibilities for how to start the system and start operation. For example, in addition to controlling the start through the operation interface, it can also be set to start automatically, for example, because it can be detected It is set on the user's body surface to start automatically, or it can be set to start at a time. Therefore, a suitable method can be selected according to actual needs without limitation.
接著,在資訊儲存方面,可選擇直接儲存在取得生理資訊的該個裝置中,此時,需配備資料儲存單元,例如,記憶體,另外,也可選擇將資訊儲存在單個裝置中,例如,其中一個裝置將資訊無線傳送至另一個裝置,並儲存在該另一個裝置的記憶體中;而在結束睡眠期間後,已儲存的資訊則可透過無線或有線的方式傳出,例如,可利用無線通訊,例如,藍芽,或有線通訊,例如,USB介面,而傳送至外部裝置,例如,手機、電腦等,也可採用移除並讀取記憶卡的方式;另一方面,也可選擇兩個裝置的資訊皆即時傳送至外部裝置,例如,兩個裝置透過無線通訊而將資訊傳送至外部裝置,再由外部裝置進行儲存,或者,也可以是其中一個裝置先將資訊傳送另一個裝置後,再一起傳送至外部裝置。因此,有各種實施可能性,沒有限制。 Then, in terms of information storage, you can choose to directly store the physiological information in the device that obtains the physiological information. In this case, you need to be equipped with a data storage unit, such as a memory. In addition, you can also choose to store the information in a single device, for example, One device wirelessly transmits information to another device and stores it in the memory of the other device; and after the sleep period ends, the stored information can be transmitted wirelessly or wiredly, for example, you can use Wireless communication, such as Bluetooth, or wired communication, such as USB interface, and transfer to external devices, such as mobile phones, computers, etc., can also be used to remove and read the memory card; on the other hand, you can also choose The information of both devices are sent to the external device in real time. For example, the two devices send information to the external device through wireless communication, and then the external device stores the information, or one of the devices sends the information to the other device first After that, they are sent to an external device together. Therefore, there are various implementation possibilities without limitation.
此外,各種資訊在提供予使用者前,由於是由兩個裝置分別取得,故相當重要地是如何讓多種資訊間的時序彼此對齊,才能達到有效利用資訊的效果。 In addition, since various information is obtained by two devices separately before being provided to the user, it is very important how to align the timing of the various information with each other in order to achieve the effect of effectively using the information.
舉例而言,警示的提供與睡眠姿勢之間的時間軸對齊是確認警示是否達到效果的基礎,例如,可透過兩者間的比較得知,警示的提供是否達成了睡眠姿勢的改變,以及警示的強度、頻率、模式等對於達成睡眠姿勢改變的效果等;另外,所取得的生理資訊與睡眠姿勢之間的關係則 是確認是否為姿勢性睡眠呼吸障礙的重要依據,例如,透過分析生理資訊可得知是否發生睡眠呼吸事件,並可進一步確認發生睡眠呼吸事件時,所處的睡眠姿勢為何。因此,對於本案的分散式睡眠系統而言,各種資訊之間的時序對齊將是所有分析及操作的基礎。 For example, the time axis alignment between the provision of a warning and the sleeping posture is the basis for confirming whether the warning has achieved its effect. For example, it can be known through the comparison between the two whether the provision of the warning has achieved a change in the sleeping posture, and the warning The intensity, frequency, pattern, etc. of the sleep posture are used to achieve the effect of changing the sleep posture; in addition, the relationship between the obtained physiological information and the sleep posture is It is an important basis for confirming whether it is a postural sleep breathing disorder. For example, by analyzing physiological information, you can know whether a sleep breathing event has occurred, and you can further confirm the sleep posture when a sleep breathing event occurs. Therefore, for the distributed sleep system in this case, the timing alignment between various information will be the basis of all analysis and operations.
至於如何進行時序對齊,則有許多可能性。舉例而言,可利用時間戳記(Time stamp),並藉由對齊時間軸而完成資訊整合,或者,也可在整個程序開始前執行時間同步化,有各種可能,沒有限制,而且,無論是採用何種方式,較佳地是,在整個程序被起始的同時執行,例如,按下起始鍵時,或藉由外部裝置而無線啟動時,可讓操作更為方便。 As for how to perform timing alignment, there are many possibilities. For example, time stamps can be used to complete information integration by aligning the time axis, or time synchronization can also be performed before the entire process starts. There are various possibilities without restrictions, and whether it is used Which method, preferably, is executed while the entire program is started, for example, when the start key is pressed, or when it is started wirelessly by an external device, which makes the operation more convenient.
在此,需要注意地是,雖然上述實施例皆以二個裝置為基準而進行敘述,但本案分散架構的內容並不因此受限,亦可實施為更多個裝置,例如,三個、四個裝置,可依實際需求而變化。 Here, it should be noted that although the above embodiments are described on the basis of two devices, the content of the distributed architecture of this case is not limited, and it can also be implemented as more devices, for example, three, four Each device can be changed according to actual needs.
接著,另一方面的構想,是關於透過單個裝置適應不同設置位置來達到提供多重功能的效果,亦即,同一個裝置被建構為可透過與不同的穿戴結構相結合、或是利用同一個穿戴結構而設置於使用者身上的至少二個不同位置,以藉此提供不同的功能。 Then, another idea is to achieve the effect of providing multiple functions by adapting a single device to different settings, that is, the same device is constructed to be combined with different wear structures or use the same wear The structure is arranged on at least two different positions on the user's body to thereby provide different functions.
首先,在評估睡眠呼吸障礙方面,一種實施可能是,一睡眠系統包括一殼體,以及至少一穿戴結構,且利用該至少一穿戴結構該殼體可設置於不同的身體部分,例如,一第一身體部分以及一第二身體部分,其中,當實施為有二個穿戴結構以分別設置於不同的身體部分時,該殼體與穿戴結構間則進一步實施為可移除的形式,以利於進行更換,另外,該睡眠系統還會包括一控制單元,至少包括微控制器/處理器,一姿勢感測器,電連接至該控制單元,至少一生理感測器,電連接至該控制單元,一電力模組,以及一通訊模組其中,當被設置於第一身體部分時,該姿勢感測器以及該至少一生理感測器會同時取得睡眠姿勢相關資訊以及睡眠呼吸生理資訊,如此一來,透過兩種資訊之間的相互分析比對,可得出睡眠呼吸事件姿勢相關性資訊,以讓使用者瞭解睡眠姿勢與睡眠呼吸障礙之間的關係,亦即,該第一身體部分是落在身體中軸附近,例如,軀幹,頭部,頸 部等位置,而當被設置於第二身體部分時,則是該至少一生理感測器會取得睡眠呼吸生理資訊,亦即,該第二身體部分的位置不受限制,例如,可以是頭部,軀幹,上肢,下肢等任何可取得睡眠呼吸生理資訊的位置。 First, in assessing sleep disordered breathing, one implementation may be that a sleep system includes a housing and at least one wearing structure, and the housing can be set on different body parts by using the at least one wearing structure, for example, a first A body part and a second body part, wherein, when implemented as having two wearing structures to be respectively disposed on different body parts, the shell and the wearing structure are further implemented in a removable form to facilitate Replaced. In addition, the sleep system will also include a control unit, including at least a microcontroller/processor, a posture sensor, electrically connected to the control unit, and at least one physiological sensor, electrically connected to the control unit, A power module and a communication module. When set on the first body part, the posture sensor and the at least one physiological sensor will simultaneously obtain sleep posture related information and sleep breathing physiological information. In the future, through the mutual analysis and comparison between the two kinds of information, the posture correlation information of the sleep breathing event can be obtained, so that the user can understand the relationship between sleep posture and sleep breathing disorder, that is, the first body part is Falling near the central axis of the body, for example, trunk, head, neck When it is set on the second body part, the at least one physiological sensor will obtain the physiological information of sleep and breathing, that is, the position of the second body part is not limited, for example, it can be the head Department, trunk, upper limbs, lower limbs, etc., any position where physiological information of sleep breathing can be obtained.
如此之架構所帶來的優勢是,使用者可根據自身的需求而決定如何使用,不受限於固定的設置位置。一般的生理檢測裝置,尤其是透過穿戴結構進行設置者,多僅有單種設置位置,例如,戒指,手環,手錶等,另外,睡眠期間與日常活動期間的生理檢測需求亦確實有所差別,故一般而言,當使用者有不同生理檢測需求時,需重新購買不同的生理檢測裝置,顯得十分不經濟。 The advantage brought by such a structure is that users can decide how to use it according to their own needs, and are not limited to a fixed installation location. General physiological testing devices, especially those that are set up through a wearable structure, have only a single setting position, such as rings, bracelets, watches, etc. In addition, there are indeed differences in the physiological testing requirements during sleep and during daily activities. Therefore, generally speaking, when users have different physiological testing needs, they need to repurchase a different physiological testing device, which is very uneconomical.
透過本系統,首先,設置在第一身體部分時,同時取得睡眠呼吸生理資訊以及睡眠姿勢相關資訊,除了能得知是否具睡眠呼吸障礙外,還能有效評估是否為姿勢性睡眠呼吸障礙,等於提供進一步辨別睡眠呼吸障礙種類的能力,尤其如前所述,姿勢性睡眠呼吸障礙佔了相當高的比例,更增添其實用性;再者,由於第二身體部分的設置不受限,因此,可選擇最容易執行的位置,例如,手腕,以瞭解睡眠期間的呼吸情形,例如,可在一開始使用時,先設置於第二身體部分,透過所取得的睡眠呼吸生理資訊來確認是否具有睡眠呼吸障礙,之後,若發現確實有睡眠呼吸障礙,就可移至第一身體部分,同時取得睡眠呼吸生理資訊及睡眠姿勢相關資訊,以進一步確認是否為姿勢性睡眠呼吸障礙,對於使用者而言是相當具實用性的選擇。 Through this system, first of all, when it is set in the first body part, it obtains both sleep breathing physiological information and sleep posture related information. In addition to knowing whether there is sleep breathing disorder, it can also effectively evaluate whether it is postural sleep breathing disorder. Provides the ability to further distinguish the types of sleep-disordered breathing, especially as mentioned above, postural sleep-disordered breathing accounts for a relatively high proportion, which adds to its practicability; in addition, since the setting of the second body part is not limited, therefore, You can choose the position that is easiest to perform, such as the wrist, to understand the breathing situation during sleep. For example, you can set it in the second body part at the beginning of use, and confirm whether you have sleep through the obtained sleep breathing physiological information After that, if you find that you have sleep-disordered breathing, you can move to the first body part and get the physiological information of sleep breathing and sleep posture related information to further confirm whether it is postural sleep-disordered breathing. For the user It is a very practical choice.
而在該至少一生理感測器的選擇及身體部分上則有各種可能。舉例而言,可選擇使用光感測器,取得血氧濃度、心率、及/或呼吸行為等血液生理資訊,在此情形下,第一身體部分可為軀幹、額頭等位置,第二身體部分則可為手指、手腕、手臂、耳朵等位置;或者,也可選擇使用麥克風,取得打鼾相關資訊及/或呼吸聲變化,在此情形下,第一身體部分可為軀幹、頭部等位置,第二身體部分則可為手指、手腕、手臂、耳朵等位置;或者,也可選擇使用加速度器,其中,第一身體部分則可實施為頭部、軀幹等位置以取得心率、打鼾相關資訊、呼吸動作等生理資訊,第 二身體部分可實施為手指、手腕等位置以取得心率。在此,特別地是,實施為加速度器的生理感測器,也可同時被使用作為姿勢感測器,以進一步簡化製程及降低成本。因此,有各種可能,不受限制。 There are various possibilities in the selection of the at least one physiological sensor and the body part. For example, you can choose to use a light sensor to obtain blood physiological information such as blood oxygen concentration, heart rate, and/or breathing behavior. In this case, the first body part can be the trunk, forehead, etc., and the second body part It can be fingers, wrists, arms, ears, etc.; or, you can also choose to use a microphone to obtain snoring-related information and/or breathing changes. In this case, the first body part can be the torso, head, etc. The second body part can be fingers, wrists, arms, ears, etc.; alternatively, an accelerometer can also be used. Among them, the first body part can be implemented as head, torso, etc. to obtain heart rate, snoring related information, Physiological information such as breathing movements, Two body parts can be implemented as fingers, wrists and other positions to obtain heart rate. Here, in particular, the physiological sensor implemented as an accelerometer can also be used as a posture sensor at the same time to further simplify the manufacturing process and reduce the cost. Therefore, there are various possibilities without limitation.
替代地,設置於第二身體部分時,還可以有其他的使用選擇,舉例而言,由於位置不受限,亦相當適合於白天使用,例如,手指、手腕、耳朵等位置,皆可於睡眠期間取得睡眠呼吸生理資訊,亦可於白天取得具意義的生理資訊,例如,光感測器可取得血氧濃度、心率、呼吸行為等,加速度器可提供睡眠身體活動資訊、睡眠階段、日常身體活動資訊等;另外,若有些使用者已在使用一些幫助入睡或幫助解決睡眠呼吸障礙的產品,例如,止鼾枕頭、下頦帶等,則可用來瞭解使用效果;因此,對使用者而言,等於提供了一機多用的功能,且還可隨喜好改變設置位置,相當有助於提升使用者的使用意願。 Alternatively, when it is installed on the second body part, there can be other options for use. For example, since the location is not limited, it is also suitable for daytime use. For example, fingers, wrists, ears, etc. can be used in sleep During the period, the physiological information of sleep and breathing can be obtained, and meaningful physiological information can also be obtained during the day. For example, the light sensor can obtain blood oxygen concentration, heart rate, breathing behavior, etc., and the accelerometer can provide information on sleep physical activity, sleep stage, daily body Activity information, etc.; in addition, if some users are already using some products that help fall asleep or help solve sleep disordered breathing, such as anti-snoring pillows, chin straps, etc., they can be used to understand the effects of use; therefore, for users , Which is equivalent to providing a machine with multiple functions, and the setting position can be changed according to preference, which is quite helpful to enhance the user's willingness to use.
因此,無論是生理感測器/姿勢感測器的選擇,或是第一身體部分/第二身體部分的位置,都有許多可能及實施組合,不受限於上述,多個實施例間可相互置換,皆屬本案所欲主張的範圍。 Therefore, whether it is the choice of the physiological sensor/posture sensor, or the position of the first body part/second body part, there are many possibilities and implementation combinations, which are not limited to the above, and multiple embodiments can be Replacing each other is within the scope of this case.
再者,進一步地,也可於上述的睡眠生理系統中增設警示單元,進而應用於改善睡眠呼吸障礙,舉例而言,當設置於第一身體部分時,由於可取得睡眠姿勢,也可取得睡眠呼吸生理資訊,因此,除了可利用警示單元執行睡眠姿勢訓練外,該睡眠呼吸生理資訊也可被用來監測睡眠姿勢訓練的效果,例如,是否因仰躺比例降低而讓睡眠呼吸障礙的情形減輕,有助於讓使用者能夠進一步獲得瞭解,或者進一步地,也可藉由監測所得的睡眠呼吸生理資訊而調整警示行為,例如,調整相關的設定值;另外,也可有其他的實施選擇,例如,當在第一身體部分時,也可進一步根據所取得的睡眠呼吸生理資訊而產生警示,以執行睡眠呼吸生理反饋訓練,因而使得在第一身體部分時,可根據睡眠姿勢、睡眠呼吸生理資訊、或綜合兩者而產生警示,執行睡眠呼吸生理反饋訓練及/或睡眠姿勢訓練。此外,當設置於第二身體位置時,若於睡眠期間使用,也可實施為根據所取得睡眠生理資訊而提供警示,以執行睡眠呼吸生理反饋訓練。因此,有各種實 施可能性,沒有限制。且警示單元可依需求而設置於不同的位置,例如,可設置於殼體內,也可設置於另一個穿戴裝置上,例如,智慧手錶,智慧手環等,也可設置於一外部裝置上,例如,智慧手機,因此,有各種選擇。 Furthermore, further, a warning unit can be added to the above sleep physiological system, and then applied to improve sleep-disordered breathing. For example, when it is installed in the first body part, since the sleeping posture can be obtained, the sleep can also be obtained. Respiratory physiological information. Therefore, in addition to the use of the warning unit to perform sleep posture training, the sleep respiration physiological information can also be used to monitor the effects of sleep posture training, for example, whether the sleep disordered breathing is reduced due to the reduced proportion of lying on the back , Which is helpful for users to gain further understanding, or, furthermore, can also adjust warning behaviors by monitoring the physiological information of sleep and breathing, for example, adjust related settings; in addition, there are other implementation options, For example, when you are in the first body part, you can further generate a warning based on the obtained sleep breathing physiological information to perform sleep breathing physiological feedback training, so that when you are in the first body part, it can be based on sleep posture and sleep breathing physiological information. Information, or a combination of both to generate a warning, perform sleep breathing physiological feedback training and/or sleep posture training. In addition, when set in the second body position, if used during sleep, it can also be implemented to provide a warning based on the obtained sleep physiological information to perform sleep breathing physiological feedback training. Therefore, there are various There is no limit to the possibility of implementation. And the warning unit can be arranged in different positions according to requirements, for example, it can be arranged in the housing, it can also be arranged on another wearable device, such as a smart watch, a smart bracelet, etc., or it can be arranged on an external device, For example, smart phones, therefore, there are various options.
而且,根據設置的位置不同,可選擇採用振動警示及/或聲音警示,例如,當被設置於耳朵及/或耳朵附近時,適合利用聲音警示,當設置於軀幹、頸部、上肢(手指、手腕、手臂等位置)時,適合振動警示,當設置於頭部時,則是振動及聲音警示皆適合,且也可同時具備兩種警示,並可根據不同的位置、或使用者喜好而選擇適合的警示;另外,該警示單元也可實施為由其他裝置(例如,智慧手機,智慧手錶,智慧手環等)所驅動的耳機,以提供聲音警示,因此,沒有限制。 Moreover, depending on the location of the installation, you can choose to use vibration warning and/or sound warning. For example, when it is installed on the ear and/or near the ear, it is suitable to use the sound warning. When it is installed on the trunk, neck, upper limbs (finger, Wrist, arm, etc.), suitable for vibration warning, when set on the head, both vibration and sound warning are suitable, and it can also have two kinds of warnings at the same time, and can be selected according to different positions or user preferences Suitable warning; in addition, the warning unit can also be implemented as a headset driven by other devices (for example, smart phones, smart watches, smart bracelets, etc.) to provide sound warnings, so there is no limitation.
另一種實施可能是,一睡眠系統包括一殼體,至少一穿戴結構,用以將該殼體分別設置於一第一身體部分以及一第二身體部分,一控制單元,至少包括微控制器/處理器,一第一生理感測器以及一第二生理感測器,電連接至該控制單元,用以分別在該第一身體部分以及該第二身體部分取得不同的生理資訊,一姿勢感測器,電連接至該控制單元,用以在設置於該第一身體部分時取得一使用者的睡眠姿勢相關資訊,一通訊模組,以及一電力模組。 Another implementation possibility is that a sleep system includes a housing, at least one wearable structure, for disposing the housing on a first body part and a second body part respectively, and a control unit including at least a microcontroller/ The processor, a first physiological sensor and a second physiological sensor, are electrically connected to the control unit for obtaining different physiological information on the first body part and the second body part respectively, and a posture sensor The detector is electrically connected to the control unit, and is used to obtain information about a user's sleeping posture, a communication module, and a power module when it is set on the first body part.
而藉由使用更多種類的生理感測器,此睡眠系統也提供了更多可能。舉例而言,在一較佳實施例中,該第一身體部分實施為軀幹、頭部、頸部等位置,該第一生理感測器實施為打鼾偵測器,例如,加速器或麥克風,該第二身體部分實施為手指、手腕、手臂等位置,該第二生理感測器實施為光感測器,在此配置下,具優勢地是,當被設置於該第一身體部分時,此系統將可同時取得打鼾相關資訊以及睡眠姿勢相關資訊,因而可得知打鼾與睡眠姿勢之間的關係,亦即,除了可決定是否出現打鼾事件外,還可進一步判斷是否為姿勢性打鼾,並提供使用者打鼾事件姿勢相關性資訊,另外,當被設置於該第二身體部分時,可利用光感測器取得血液生理資訊,例如,血氧濃度、心率、呼吸行為等,而透過分析血液生理資訊,就可得知是否於睡眠期間出現血液生理睡眠呼吸事件,例如,氧減飽 和度事件,低氧水平事件,以及心率變化睡眠呼吸事件,也就是,透過這樣的系統,最常見的打鼾事件及血液生理睡眠呼吸事件,只要利用同一個系統即可進行檢測,能夠提供最大的使用方便性。在此,若該打鼾偵測器實施為加速度器,則同樣地,此加速度亦可被使用作為姿勢感測器,以進一步簡化製程及降低成本。 By using more kinds of physiological sensors, this sleep system also provides more possibilities. For example, in a preferred embodiment, the first body part is implemented as a torso, head, neck, etc., and the first physiological sensor is implemented as a snoring detector, such as an accelerator or a microphone. The second body part is implemented as a finger, wrist, arm, etc., and the second physiological sensor is implemented as a light sensor. In this configuration, it is advantageous that when placed on the first body part, this The system will be able to obtain both snoring related information and sleep posture related information at the same time, so it can know the relationship between snoring and sleeping posture, that is, in addition to determining whether a snoring event occurs, it can further determine whether it is postural snoring, and Provides posture related information for the user's snoring event. In addition, when set on the second body part, the light sensor can be used to obtain blood physiological information, such as blood oxygen concentration, heart rate, breathing behavior, etc., and through analysis of blood Physiological information, you can know whether blood physiological sleep-respiratory events occur during sleep, for example, oxygen loss Harmony events, low oxygen level events, and heart rate changes sleep breathing events, that is, through such a system, the most common snoring events and blood physiological sleep breathing events can be detected by using the same system, which can provide the greatest Ease of use. Here, if the snoring detector is implemented as an accelerometer, the acceleration can also be used as a posture sensor to further simplify the manufacturing process and reduce costs.
在上述的各個實施例中,各種資訊的提供是藉由資訊提供介面來達成,且該資訊提供介面可設置於殼體上,也可以是利用外部裝置來達成,此時,可利用該系統包括的通訊模組,並透過有線或無線的方式將資訊傳送至外部裝置,故有各種可能,沒有限制。 In the above-mentioned various embodiments, the provision of various information is achieved through an information providing interface, and the information providing interface can be set on the housing or can be achieved by using an external device. In this case, the system can be used to include Communication module, and transmit information to external devices through wired or wireless means, so there are various possibilities without limitation.
再者,又一方面的構想,是在不變動設置位置的情形下,利用最簡便的方式,取得能夠判斷各種睡眠呼吸事件以及睡眠呼吸事件與睡眠姿勢間的關係的睡眠生理資訊。 Furthermore, another conception is to obtain sleep physiological information that can determine various sleep breathing events and the relationship between sleep breathing events and sleep posture in the simplest way without changing the setting position.
一種實施可能是,一睡眠系統包括一殼體,一穿戴結構,用以將該殼體設置於一使用者的身上,該睡眠系統還會包括一控制單元,至少包括微控制器/處理器,一通訊模組,以及一電力模組,而在取得睡眠生理資訊方面,則是透過電連接至該控制單元的一姿勢感測器以及一生理感測器來達成,其中,該姿勢感測器是用來取得該使用者於睡眠期間的睡眠姿勢相關資訊,而該生理感測器則是用來取得睡眠期間的打鼾相關資訊,在此,特別地是,由於睡眠姿勢相關資訊的取得以軀幹以及軀幹上方的頸部為最佳位置,因此,生理感測器採用加速度器,以透過偵測打鼾所產生的體腔振動而取得打鼾相關資訊,尤其利用加速度器偵測打鼾時,能夠不受外界環境聲音影響,且即使在被衣物或棉被遮蔽的情形下亦可正常進行偵測,是相當方便的選擇。 An implementation possibility is that a sleep system includes a housing and a wearable structure for placing the housing on a user. The sleep system also includes a control unit, including at least a microcontroller/processor, A communication module and a power module. The aspect of obtaining sleep physiological information is achieved through a posture sensor and a physiological sensor that are electrically connected to the control unit, wherein the posture sensor It is used to obtain the sleep posture related information of the user during sleep, and the physiological sensor is used to obtain the snoring related information during sleep. Here, in particular, because the sleep posture related information is obtained by the torso And the neck above the torso is the best position. Therefore, the physiological sensor uses an accelerometer to obtain snoring-related information by detecting the body cavity vibration caused by snoring. Especially when the accelerometer is used to detect snoring, it can be protected from the outside world. Affected by environmental sound, it can detect normally even when it is covered by clothing or quilt, which is a very convenient choice.
據此,透過所取得的睡眠姿勢相關資訊以及打鼾相關資訊,就可得出一打鼾睡眠姿勢相關性資訊,這對使用者將是非常有用的資訊,尤其,只需簡單設置單個裝置於軀幹上,即可得知是否有打鼾的現象,而且還能進一步瞭解打鼾的發生與睡眠姿勢之間的關係,例如,打鼾於不同睡眠姿勢的分布及比例,是簡單且有效的選擇,特別適合於居家進行檢測。 在此,特別地是,實施為加速度器的生理感測器,也可同時被使用作為姿勢感測器,以進一步簡化製程及降低成本,故沒有限制。 Accordingly, through the obtained sleep posture related information and snoring related information, a snoring sleep posture related information can be obtained, which will be very useful information for the user, especially by simply setting a single device on the torso , You can know whether there is snoring, and you can further understand the relationship between the occurrence of snoring and sleeping posture. For example, the distribution and proportion of snoring in different sleeping postures is a simple and effective choice, especially suitable for home Perform testing. Here, in particular, the physiological sensor implemented as an accelerometer can also be used as a posture sensor at the same time to further simplify the manufacturing process and reduce the cost, so there is no limitation.
另外,當加速度器設置於軀幹時,除了可取得打鼾相關資訊外,如前所述,亦可取得其他的睡眠呼吸生理資訊,例如,呼吸動作以及心率;此外,也可增設其他如光感測器的生理感測器,亦自軀幹表面取得睡眠生理資訊,如睡眠呼吸事件,心率,呼吸行為,睡眠階段等,以透過多種睡眠生理資訊之間的相互比對而讓檢測結果更為準確。 In addition, when the accelerometer is installed on the torso, in addition to snoring-related information, as mentioned above, other sleep-respiratory physiological information can also be obtained, such as breathing movement and heart rate; in addition, other things such as light sensing can also be added The physiological sensor of the device also obtains sleep physiological information from the surface of the torso, such as sleep breathing events, heart rate, breathing behavior, sleep stage, etc., to make the detection results more accurate by comparing various sleep physiological information.
再者,進一步地,也可增設警示單元,以提供睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練。舉例而言,可將所取得睡眠姿勢相關資訊與預設姿勢範圍進行比較,並在符合該預設姿勢範圍時決定警示行為,提供警示,以執行睡眠姿勢訓練;或者也可將所取得的睡眠呼吸生理資訊,例如,打鼾相關資訊,呼吸動作,心率等,與預設條件進行比較,以在符合該預設條件時決定警示行為,並提供警示,以執行睡眠呼吸生理反饋訓練;又或者,可在同一個睡眠期間,經由觀察此兩種睡眠生理資訊而提供適當的睡眠姿勢訓練以及睡眠呼吸生理反饋訓練。因此,有各種實施可能,沒有限制。 Furthermore, further, a warning unit can also be added to provide sleep posture training and/or sleep breathing physiological feedback training. For example, the obtained sleep posture related information can be compared with a preset posture range, and a warning behavior can be determined when the preset posture range is met, and a warning can be provided to perform sleep posture training; or the obtained sleep Respiratory physiological information, such as snoring-related information, breathing movements, heart rate, etc., are compared with preset conditions to determine warning behaviors when the preset conditions are met, and provide warnings to perform sleep breathing physiological feedback training; or, It can provide proper sleep posture training and sleep breathing physiological feedback training by observing these two kinds of sleep physiological information during the same sleep period. Therefore, there are various implementation possibilities without limitation.
而警示的提供則為,控制單元會被建構以產生一驅動訊號,且警示單元在接收該驅動訊號後,會產生至少一警示,並將該至少一警示提供予該使用者,以達成睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的目的,其中,該驅動訊號則實施為根據上述所決定的各種警示行為而產生。 The warning is provided in that the control unit is constructed to generate a driving signal, and after receiving the driving signal, the warning unit generates at least one warning, and provides the at least one warning to the user to achieve a sleeping posture The purpose of training and/or sleep-respiratory physiological feedback training, wherein the driving signal is implemented to be generated according to various warning behaviors determined above.
在此,需注意地是,正如本領域具通常知識者所熟知,裝置/系統的運作必須具備控制單元、通訊模組、電力模組等基本電路配置,而由於此些皆為重複的內容,故在接下來所有實施例的敘述中,將予以省略而不贅述,且本案所有裝置的實際電路配置並不因此而受限。 Here, it should be noted that, as is well known by those with ordinary knowledge in the art, the operation of the device/system must have basic circuit configurations such as control units, communication modules, and power modules. Since these are all repetitive content, Therefore, in the description of all the following embodiments, it will be omitted without repeating it, and the actual circuit configuration of all devices in this case is not limited thereby.
另一種實施可能是,一睡眠系統包括一殼體,一穿戴結構,用以將該殼體設置於一使用者的身上,而在取得睡眠生理資訊方面,則是透過一姿勢感測器以及一生理感測器來達成,其中,該姿勢感測器是用來取得該使用者於睡眠期間的睡眠姿勢相關資訊,而該生理感測器則是實施 為光感測器,以取得睡眠期間的血液生理資訊,在此,特別地是,由於睡眠姿勢相關資訊的取得以軀幹以及軀幹上方的頸部為最佳位置,因此,該光感測器亦是由軀幹或頸部的皮膚表面取得血液生理資訊,例如,心率,且特別地是,如前所述,可經由進一步分析心率而獲得睡眠階段相關資訊,例如,可經由分析心率分布,也可經由計算HRV(心跳變異率),執行希爾伯特-黃轉換(Hilbert-Huang transform,HHT)或其他習知的分析方法而獲得,之後,透過瞭解睡眠階段分布,例如,深睡、淺睡分別於整體睡眠期間所佔的比例等,則可獲得睡眠品質相關資訊。這對使用者而言是相當有助益的資訊,尤其,睡眠姿勢訓練是透過警示造成睡眠姿勢改變,進而達到減少睡眠呼吸暫停/低通氣的效果,觀察訓練期間的睡眠階段分布/睡眠品質,將有助於調整提供警示的參數設定,讓訓練過程更為舒適。 Another implementation possibility is that a sleep system includes a housing and a wearable structure for setting the housing on a user's body, and obtaining sleep physiological information through a posture sensor and a Physiological sensor to achieve, where the posture sensor is used to obtain the user’s sleep posture related information during sleep, and the physiological sensor is implemented It is a light sensor to obtain blood physiological information during sleep. Here, in particular, since the torso and the neck above the torso are the best positions for the acquisition of sleep posture related information, the light sensor is also The blood physiological information is obtained from the skin surface of the trunk or neck, such as heart rate, and in particular, as mentioned above, the sleep stage related information can be obtained by further analyzing the heart rate, for example, by analyzing the heart rate distribution or Obtained by calculating HRV (heart rate variability), performing Hilbert-Huang transform (HHT) or other conventional analysis methods, and then understanding the distribution of sleep stages, such as deep sleep and light sleep Respectively, the proportion of the total sleep period, etc., can obtain information related to sleep quality. This is very helpful information for users. In particular, sleep posture training uses warnings to cause changes in sleep posture, thereby achieving the effect of reducing sleep apnea/hypopnea. Observe the distribution of sleep stages/sleep quality during training. It will help to adjust the parameter settings that provide warnings and make the training process more comfortable.
另外,當該姿勢感測器實施為加速度器時,加速度器亦可取得睡眠期間的身體活動,就可進一步與心率一起進行分析而獲得更準確的睡眠階段相關資訊。進一步,該血液生理資訊還可用以獲得其他的睡眠生理資訊,例如,睡眠呼吸生理資訊,睡眠呼吸事件,心率變異率,以及心律不整。 In addition, when the posture sensor is implemented as an accelerometer, the accelerometer can also obtain physical activity during sleep, which can be further analyzed together with the heart rate to obtain more accurate sleep stage related information. Furthermore, the blood physiological information can also be used to obtain other sleep physiological information, such as sleep breathing physiological information, sleep breathing events, heart rate variability, and arrhythmia.
在此情形下,當具有警示單元時,可將睡眠姿勢相關資訊與預設姿勢範圍進行比較,並在符合該預設姿勢範圍時決定警示行為,提供警示,以執行睡眠姿勢訓練,另外,由於可於睡眠期間連續偵測血液生理資訊,如此一來,血液生理資訊將可被用來確認提供警示的改善效果,例如,睡眠呼吸事件的發生是否因睡眠姿勢的改變而有所減少,並還可透過資訊提供介面提供除了血液生理資訊以外的各種相關資訊給使用者,例如,警示執行的次數、時間點,睡眠姿勢的變化,不同睡眠姿勢的比例,睡眠呼吸事件的發生次數、時間點等,使用者將能明確地得知,所執行的睡眠姿勢訓練是否具有效果以及效果為何,也因此,所取得的血液生理資訊亦可被作為基礎而調整警示行為,不但可讓警示的提供更為有效,也可讓對使用者睡眠的打擾最小化,故相當具優勢。 In this case, when there is a warning unit, the sleep posture related information can be compared with the preset posture range, and the warning behavior can be determined when the preset posture range is met, and warnings can be provided to perform sleep posture training. In addition, because The blood physiological information can be continuously detected during sleep. In this way, the blood physiological information can be used to confirm the improvement effect of providing warnings, for example, whether the occurrence of sleep breathing events is reduced due to changes in sleep posture, and also Various related information other than blood physiological information can be provided to the user through the information providing interface, such as the number and time of warning execution, the change of sleep posture, the ratio of different sleep postures, the number of occurrences of sleep breathing events, time point, etc. , The user will be able to clearly know whether the sleep posture training performed has an effect and what the effect is. Therefore, the blood physiological information obtained can also be used as a basis to adjust warning behaviors, not only can provide more warnings It is effective and can minimize the interruption to the user's sleep, so it is quite advantageous.
當然,為了瞭解採用睡眠姿勢訓練前後的差異,也可實施為, 一開始該警示單元先不提供警示,而是僅取得使用者的睡眠姿勢,並配合上血液生理資訊,以得知睡眠呼吸事件的發生與不同睡眠姿勢之間的關係,如此一來,當開始執行睡眠姿勢訓練時,就能進一步獲得提供警示與否的效果,例如,不同睡眠姿勢的比例變化,以及睡眠呼吸事件的發生是否減少等。 Of course, in order to understand the difference before and after the sleep posture training, it can also be implemented as, At the beginning, the warning unit does not provide warnings, but only obtains the user’s sleeping posture, coupled with blood physiological information, to know the relationship between the occurrence of sleep breathing events and different sleeping postures. In this way, when you start When performing sleep posture training, you can further obtain the effect of providing warning or not, for example, whether the proportion of different sleep postures changes, and whether the occurrence of sleep breathing events is reduced.
進一步地,該警示行為也可實施為根據睡眠姿勢相關資訊及/或血液生理資訊而決定,亦即,可選擇執行睡眠姿勢訓練、執行睡眠呼吸生理反饋訓練、或在同一個睡眠期間一起執行兩者,因此,沒有限制,有各種可能。 Further, the warning behavior can also be implemented to be determined based on sleep posture related information and/or blood physiological information, that is, you can choose to perform sleep posture training, perform sleep breathing physiological feedback training, or perform both together during the same sleep period. Therefore, there are no restrictions, there are various possibilities.
再一種實施可能是,一睡眠系統包括至少一殼體,一穿戴結構,用以將該殼體設置於一使用者的額頭,而在取得睡眠生理資訊方面,則是透過一姿勢感測器以及一光感測器來達成,其中,該姿勢感測器是用來取得該使用者於睡眠期間的睡眠姿勢相關資訊,以及該光感測器則可在睡眠期間自額頭取得血液生理資訊,例如,血氧濃度,心率,另外,該系統還會包括一警示單元,以根據睡眠姿勢相關資訊及/或血液生理資訊而執行睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練。 Another implementation may be that a sleep system includes at least one housing and a wearable structure for placing the housing on a user’s forehead, and obtaining sleep physiological information through a posture sensor and This is achieved by a light sensor, where the posture sensor is used to obtain information about the sleeping posture of the user during sleep, and the light sensor can obtain blood physiological information from the forehead during sleep, such as , Blood oxygen concentration, heart rate. In addition, the system will also include a warning unit to perform sleep posture training and/or sleep breathing physiological feedback training based on sleep posture related information and/or blood physiological information.
這樣的系統提供了各種具優勢的實施選擇。舉例而言,該警示單元可選擇實施為根據睡眠姿勢相關資訊而提供警示,在此情形下,根據該血液生理資訊而得出的血液生理睡眠呼吸事件,例如,氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件,將有助於讓使用者瞭解睡眠姿勢訓練期間的睡眠呼吸情形,例如,睡眠呼吸事件於不同睡眠姿勢的分布,而可提供使用者血液生理睡眠呼吸事件姿勢相關性資訊,例如,氧減飽和度事件姿勢相關性資訊,也可瞭解訓練執行的效果,例如,睡眠呼吸事件於訓練過程中的發生次數變化,是否因改變姿勢而變少等;另外,該警示單元也可選擇實施為同時根據睡眠姿勢相關資訊以及血液生理資訊而提供警示,如此則是可在同一個睡眠期間內一起提供睡眠姿勢訓練以及睡眠呼吸生理反饋訓練,讓改善效果更為全面;此外,也可選擇先不提供警示,則透過所取得的睡眠生理資訊,將能判斷是否發生睡眠呼吸事件,以 及睡眠呼吸事件的發生與睡眠姿勢的相關性,之後,在根據判斷的結果而選擇要執行何種訓練。 Such a system provides a variety of advantageous implementation options. For example, the warning unit can optionally be implemented to provide warnings based on information related to sleep posture. In this case, blood physiological sleep-respiratory events derived from the blood physiological information, such as oxygen desaturation events, hypoxia Level events, heart rate changes, sleep breathing events, will help users understand the sleep breathing situation during sleep posture training, for example, the distribution of sleep breathing events in different sleep postures, and can provide users with blood physiological sleep breathing event posture correlation Sexual information, such as posture-related information about oxygen desaturation events, can also understand the effects of training execution, for example, the number of sleep-respiratory events during training changes, whether they are reduced due to posture changes, etc.; in addition, the warning The unit can also be implemented to provide warnings based on sleep posture related information and blood physiological information at the same time, so that sleep posture training and sleep breathing physiological feedback training can be provided together during the same sleep period, so that the improvement effect is more comprehensive; in addition; , You can also choose not to provide a warning first, and then through the obtained sleep physiological information, it will be able to determine whether a sleep breathing event has occurred. And the correlation between the occurrence of sleep breathing events and sleep posture, and then, based on the results of the judgment, choose which training to perform.
而且,最重要地是,對於使用者而言,只需簡單地設置於額頭,就可達成上述的各種功能及選擇,可用於評估,也可用於改善睡眠呼吸障礙,還可因應需求而選擇功能,尤其,血氧濃度變化是判斷睡眠呼吸事件最廣為接受且相關性最高的生理參數之一,能在最簡單的配置下獲得最有效的結果。 And, most importantly, for the user, the various functions and options mentioned above can be achieved simply by placing it on the forehead. It can be used for evaluation, and can also be used to improve sleep disordered breathing. It can also be selected according to needs. In particular, the change in blood oxygen concentration is one of the most widely accepted and most relevant physiological parameters for judging sleep breathing events, and the most effective results can be obtained under the simplest configuration.
進一步地,也可設置其他的生理感測器,例如,可設置加速度、或麥克風來取得打鼾相關資訊,以作為提供警示的依據,而進行基於打鼾的睡眠呼吸生理反饋訓練,並也能更全面地瞭解睡眠呼吸障礙的發生情形,尤其,加速度器還可被使用作為姿勢感測器,進一步簡化製程及降低成本;也可設置腦電電極、眼電電極、及/或肌電電極,以取得腦電訊號、眼電訊號、及/或肌電訊號,而透過分析腦電訊號、眼電訊號、及/或肌電訊號,則可得知睡眠期間的睡眠狀態/階段、睡眠週期等,進而提供睡眠呼吸事件於各個睡眠階段的分布情形,以及睡眠姿勢與睡眠階段的關係,將更有助於獲得進一步的瞭解。 Further, other physiological sensors can also be set, for example, acceleration or microphone can be set to obtain snoring-related information, as a basis for providing warnings, and snoring-based sleep breathing physiological feedback training can also be more comprehensive To understand the occurrence of sleep-disordered breathing, in particular, the accelerometer can also be used as a posture sensor to further simplify the manufacturing process and reduce costs; EEG electrodes, eye electrodes, and/or EMG electrodes can also be set to obtain EEG signals, ocular signals, and/or EMG signals, and by analyzing EEG signals, ocular signals, and/or EMG signals, we can know the sleep state/stage, sleep cycle, etc. during sleep, and then Providing the distribution of sleep breathing events in each sleep stage, as well as the relationship between sleep posture and sleep stage, will help gain further understanding.
在此,由於設置的位置是額頭,因此,該穿戴結構除了實施為頭帶及/或黏附結構外,特別地是,也可實施為眼罩形式,一般眼罩在配戴時多會覆蓋額頭的至少一部分,故只要將殼體設置於可接觸到額頭的位置,光感測器就能取得血液生理資訊,再加上在睡眠期間眼罩的使用有助於入睡,是相當具優勢的選擇;另外,額頭的設置位置也使得警示的種類選擇變多,可以實施為觸覺警示,聽覺警示,及/或視覺警示,沒有限制;此外,也可選擇增設殼體,例如,實施為二個或多個電連接的殼體,不但有助於減少個別殼體的體積,也讓設置能進一步符合額頭的弧度,亦具優勢。 Here, since the position is set on the forehead, the wearing structure can be implemented as a headband and/or an adhesion structure, in particular, it can also be implemented as an eye mask. Generally, the eye mask will cover at least the forehead when worn. Part of it, as long as the housing is placed in a position where the forehead can be touched, the light sensor can obtain blood physiological information, and the use of eye masks during sleep helps to fall asleep, which is a quite advantageous choice; in addition, The position of the forehead also allows more options for the types of warnings, which can be implemented as tactile warnings, audible warnings, and/or visual warnings, without limitation; in addition, additional housings can also be selected, for example, implemented as two or more electrical The connected shell not only helps to reduce the volume of individual shells, but also allows the setting to further conform to the curvature of the forehead, which is also advantageous.
再者,當有需要提供資訊給使用者時,可藉由設置資訊提供介面進行資訊提供,也可透過設置通訊模組,例如,如藍芽、BLE、Zigbee、WiFi、RF等的無線通訊模組,或如USB介面、UART介面的有線通訊模組, 而傳送至一外部裝置,以利用外部裝置上的資訊提供介面進行提供,在此,該外部裝置可以有各種可能,例如,智慧型手機,智慧穿戴裝置,平版電腦,個人電腦,或其他可接收資訊且具資訊提供介面的裝置,沒有限制。 Furthermore, when there is a need to provide information to users, the information can be provided by setting the information providing interface, or by setting the communication module, for example, wireless communication modules such as Bluetooth, BLE, Zigbee, WiFi, RF, etc. Group, or wired communication module such as USB interface, UART interface, It is sent to an external device to be provided by the information providing interface on the external device. Here, the external device can have various possibilities, such as smart phones, smart wearable devices, tablet computers, personal computers, or other receptive There are no restrictions on devices with information and an information providing interface.
再一種實施可能是,一睡眠系統包括一殼體,一穿戴結構,用以將該殼體設置於一使用者的身上,而在取得睡眠生理資訊方面,則是透過一姿勢感測器,一第一生理感測器,以及一第二生理感測器來達成,其中,該姿勢感測器是用來取得該使用者於睡眠期間的睡眠姿勢,而二種生理感測器則是用來取得兩種睡眠呼吸生理資訊,且其中,該第一生理感測器被建構來取得睡眠期間的一打鼾相關資訊,以得出打鼾事件,而該第二生理感測器則被建構來取得睡眠期間的血液生理資訊,以得出血液生理睡眠呼吸事件,並透過資訊提供介面而提供予使用者。 Another implementation may be that a sleep system includes a housing and a wearable structure for placing the housing on a user's body, and obtaining sleep physiological information through a posture sensor, a A first physiological sensor and a second physiological sensor are achieved, wherein the posture sensor is used to obtain the sleeping posture of the user during sleep, and the two physiological sensors are used to Obtain two kinds of sleep breathing physiological information, and among them, the first physiological sensor is constructed to obtain a snoring-related information during sleep to obtain snoring events, and the second physiological sensor is constructed to obtain sleep The blood physiological information during the period is used to obtain the blood physiological sleep-respiratory event, and is provided to the user through the information providing interface.
如前所述,睡眠呼吸障礙分為打鼾以及睡眠呼吸暫停/低通氣,因此,若可同時提供此兩種睡眠呼吸障礙的資訊,對使用者而言,將是相當方便的一個選擇,尤其,打鼾一般被視為是出現睡眠呼吸暫停/低通氣的前兆,而且,睡眠呼吸暫停/低通氣的發生經常伴隨著打鼾的出現,舉例而言,但不限於,一種情形是,呼吸道逐漸阻塞使得呼吸聲逐漸沈重,並發生打鼾,最終則出現睡眠呼吸暫停/低通氣,另一種情形是,發生睡眠呼吸暫停後,在恢復呼吸時,會出現打鼾,因此,此兩種生理現象可在大多數的情形作為確認是否真的發生睡眠呼吸暫停/低通氣的依據;再說,以血液生理資訊作為判斷血液生理睡眠呼吸事件的基礎時,例如,氧減飽和度,心率變化,低氧水平等,身體的動作容易造成生理訊號出現人為干擾(artifact),而導致誤判,因此,透過兩種生理資訊間的相關性,將可有效降低誤判的發生,並提高準確度。 As mentioned earlier, sleep breathing disorder is divided into snoring and sleep apnea/hypopnea. Therefore, if information on these two types of sleep breathing disorder can be provided at the same time, it will be a very convenient choice for users, especially, Snoring is generally regarded as a precursor to the appearance of sleep apnea/hypopnea. Moreover, the occurrence of sleep apnea/hypopnea is often accompanied by the appearance of snoring. For example, but not limited to, one situation is that the airway is gradually blocked and breathing The sound becomes heavier and snoring occurs, and finally sleep apnea/hypopnea occurs. Another situation is that after sleep apnea occurs, snoring will occur when breathing is resumed. Therefore, these two physiological phenomena can be used in most cases. Circumstances are used as the basis for confirming whether sleep apnea/hypopnea really occurs. Besides, when blood physiological information is used as the basis for judging blood physiological sleep-respiratory events, such as oxygen desaturation, heart rate changes, low oxygen levels, etc., the body’s Actions are likely to cause artifacts in physiological signals, leading to misjudgments. Therefore, the correlation between the two kinds of physiological information can effectively reduce the occurrence of misjudgments and improve accuracy.
據此,在此實施可能中,透過同時觀察血液生理資訊以及打鼾相關資訊,當符合一預設條件組合時,例如,兩者的時序關係、先後順序等,決定是否發生血液生理睡眠呼吸事件,以達成提供更為準確資訊的目的。 Accordingly, in this implementation possibility, by simultaneously observing blood physiological information and snoring-related information, when a predetermined combination of conditions is met, such as the timing relationship and sequence of the two, it is determined whether a blood physiological sleep breathing event occurs. To achieve the purpose of providing more accurate information.
在此前提下,在選擇設置位置時,最需要考慮的是睡眠姿勢 的取得,因此,殼體的設置位置以頭部、軀幹等位置為佳,當設置於軀幹時,打鼾相關資訊的取得可藉由,例如,加速度器取得打鼾造成的體腔共振,以及麥克風取得鼾聲,而睡眠呼吸暫停的偵測則可藉由,例如,光感測器取得包括心率的血液生理資訊;另外,當設置於頭部時,同樣可利用加速器及/或麥克風取得鼾聲相關資訊,而睡眠呼吸暫停/低通氣的偵測則可藉由光感測器取得包括血氧濃度以及心率等的血液生理資訊,之後,根據該血液生理資訊,即可得出血液生理睡眠呼吸事件,例如,氧減飽和度事件,低氧水平事件,心率變化睡眠呼吸事件。 Under this premise, the most important thing to consider when choosing a setting location is the sleeping position Therefore, the position of the housing is preferably head, torso, etc. When it is installed on the torso, snoring related information can be obtained by, for example, accelerometers to obtain body cavity resonance caused by snoring, and microphones to obtain snoring sound , And the detection of sleep apnea can use, for example, a light sensor to obtain blood physiological information including heart rate; in addition, when set on the head, an accelerator and/or microphone can also be used to obtain snoring related information, and The detection of sleep apnea/hypopnea can obtain blood physiological information including blood oxygen concentration and heart rate by a light sensor. Then, based on the blood physiological information, blood physiological sleep-respiratory events can be derived, for example, Oxygen desaturation events, low oxygen level events, heart rate changes, sleep breathing events.
在此,當設置於頭部時,該穿戴結構除了實施為頭帶及/或黏附結構外,特別地是,也可實施為眼罩形式,尤其是在睡眠期間,眼罩的使用將有助於入睡,而且,額頭原本就適合設置姿勢感測器,再加上眼罩會接觸的額頭區域正好適合放置生理感測器,例如,光感測器,腦電電極、眼電電極、肌電電極,可取得各種瞭解睡眠生理的生理資訊。 Here, when set on the head, the wearing structure can be implemented as a headband and/or adhesion structure, in particular, can also be implemented as an eye mask, especially during sleep, the use of the eye mask will help fall asleep Moreover, the forehead is originally suitable for setting up a posture sensor, and the area of the forehead that the eye mask will contact is just suitable for placing physiological sensors, such as light sensors, EEG electrodes, eye electrodes, and EMG electrodes. Obtain various physiological information to understand sleep physiology.
接著,再與該姿勢感測器所取得的睡眠姿勢相關資訊進行比對,就可獲得在符合預設睡眠姿勢範圍的情形下,以及在超出預設睡眠姿勢範圍的情形下,分別發生的打鼾事件以及血液生理睡眠呼吸事件的分布情形,例如,姿勢相關打鼾指數,姿勢相關打鼾次數,姿勢相關打鼾持續時間,姿勢相關睡眠呼吸暫停指數,姿勢相關血液生理睡眠呼吸事件次數,以及姿勢相關血液生理睡眠呼吸事件持續時間等,這些資訊對使用者而言,相當具有幫助,不但可得知自己的睡眠呼吸障礙是打鼾及/或睡眠呼吸暫停,還可更深入地瞭解睡眠呼吸障礙的發生與睡眠姿勢之間的關係,在功能強大的同時亦兼具使用方便性。 Then, it is compared with the sleep posture related information obtained by the posture sensor to obtain the snoring that occurs when the preset sleep posture range is met and when the preset sleep posture range is exceeded. The distribution of events and blood physiological sleep breathing events, for example, posture-related snoring index, posture-related snoring times, posture-related snoring duration, posture-related sleep apnea index, posture-related blood physiology sleep breathing events, and posture-related blood physiology The information about the duration of sleep breathing events is very helpful to users. Not only can you know that your sleep breathing disorder is snoring and/or sleep apnea, but you can also better understand the occurrence of sleep breathing disorder and sleep. The relationship between postures is both powerful and easy to use.
而且,當設置於頭部時,若進一步設置腦電電極、眼電電極、及/或肌電電極,以取得腦電訊號、眼電訊號、及/或肌電訊號,而透過分析腦電訊號、眼電訊號、及/或肌電訊號,則可得知睡眠期間的睡眠狀態/階段、睡眠週期等,進而提供睡眠呼吸事件於各個睡眠階段的分布情形,以及睡眠姿勢與睡眠階段的關係,將更有助於獲得進一步的瞭解。 Moreover, when it is installed on the head, if further EEG electrodes, EOG electrodes, and/or EMG electrodes are provided to obtain EEG signals, OG signals, and/or EMG signals, and by analyzing EEG signals , Ocular signals, and/or myoelectric signals can know the sleep state/stage, sleep cycle, etc. during sleep, and then provide the distribution of sleep breathing events in each sleep stage, and the relationship between sleep posture and sleep stage. Will be more helpful to gain further understanding.
再者,進一步地,也可增設警示單元,以提供睡眠姿勢訓練 及/或睡眠呼吸生理反饋訓練。舉例而言,可將所取得睡眠姿勢相關資訊與預設姿勢範圍進行比較,並在符合該預設姿勢範圍時決定警示行為,提供警示,以執行睡眠姿勢訓練;或者也可將所取得的打鼾相關資訊及/或血液生理資訊與預設條件進行比較,以在符合該預設條件時決定警示行為,並提供警示,以執行睡眠呼吸生理反饋訓練;又或者,可在同一個睡眠期間,經由觀察此兩種睡眠生理資訊而提供適當的睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練。因此,有各種實施可能,沒有限制。而且,警示單元可依需求而設置於不同的位置,例如,可設置於殼體內,也可設置於另一個穿戴裝置上,也可設置於一外部裝置上,因此,有各種選擇。 Furthermore, a warning unit can also be added to provide sleep posture training And/or sleep breathing physiological feedback training. For example, the obtained sleep posture related information can be compared with a preset posture range, and a warning action can be determined when the preset posture range is met, and a warning can be provided to perform sleep posture training; or the obtained snoring The relevant information and/or blood physiological information is compared with preset conditions to determine warning behaviors when the preset conditions are met, and provide warnings to perform sleep breathing physiological feedback training; or, during the same sleep period, through Observe these two kinds of sleep physiological information to provide appropriate sleep posture training and/or sleep breathing physiological feedback training. Therefore, there are various implementation possibilities without limitation. Moreover, the warning unit can be arranged in different positions according to requirements. For example, it can be arranged in the housing, on another wearable device, or on an external device. Therefore, there are various options.
又一種實施可能是,一睡眠系統包括一殼體,至少一穿戴結構,一控制單元,至少包括微控制器/微處理器,至少一呼吸氣流感測器,電連接至該控制單元,一生理感測器,電連接至該控制單元,一通訊模組,電連接至該控制單元,以及一電力模組,其中,透過該至少一穿戴結構,該殼體以及該至少一呼吸氣流感測器會被設置於使用者的口鼻之間,亦即,人中,以在使用者的睡眠期間取得睡眠呼吸氣流變化,另外,該生理感測器則用以取得另一項睡眠生理資訊,在此,該至少一呼吸氣流感測器可實施為熱敏電阻、熱電耦、或氣流管,沒有限制,其中,呼吸氣流管是偵測呼吸氣流的流量變化,熱敏電阻及熱電耦所偵測的是因呼吸氣流所產生的溫度變化,且可選擇設置兩個偵測點(兩鼻孔附近)或三個偵測點(兩鼻孔附近及口部附近)。 Another implementation possibility is that a sleep system includes a housing, at least one wearable structure, a control unit, at least a microcontroller/microprocessor, at least one respiratory and flu detector, electrically connected to the control unit, and a physiological The sensor is electrically connected to the control unit, a communication module is electrically connected to the control unit, and a power module, wherein, through the at least one wearable structure, the housing and the at least one breathing flu detector Will be set between the user’s mouth and nose, that is, in humans, to obtain sleep breathing airflow changes during the user’s sleep. In addition, the physiological sensor is used to obtain another sleep physiological information. Therefore, the at least one respiratory flue detector can be implemented as a thermistor, thermocouple, or airflow tube, without limitation. Among them, the respiratory airflow tube detects the flow change of the respiratory airflow, and the thermistor and thermocouple detect It is the temperature change caused by the breathing airflow, and two detection points (near the two nostrils) or three detection points (near the two nostrils and near the mouth) can be selected.
在此配置中,特別地是,正如所熟知,測量呼吸氣流是瞭解呼吸情形的最直接方式,進而可得出睡眠呼吸暫停事件及/或睡眠呼吸低通氣事件,因此,在殼體尺寸夠小的情形下,例如,尺寸小於20x20x20mm時,則如圖8所示,只需透過適當的穿戴結構就可設置於口鼻之間,也使呼吸氣流感測器落在口鼻之間,其中,穿戴結構可以有許多選擇,例如,可利用黏貼的方式,將殼體固定於口鼻之間,且可選擇黏著口鼻間區域、或口部兩側,或者,也可利用夾設於鼻中隔及/或二側鼻翼的固定結構而設置殼體及呼吸氣流感測器,或者,同時透過夾設與黏貼進行固定,故沒有限制, 可以是任何可達成固定的方式;且較佳地是,除了一般常用的塑膠殼材質外,該殼體亦可選用軟性或具彈性的材質,以提供最佳的舒適度。 In this configuration, in particular, as is well known, measuring respiratory airflow is the most direct way to understand the breathing situation, and then sleep apnea events and/or sleep apnea events can be derived. Therefore, the housing size is small enough In the case of, for example, when the size is less than 20x20x20mm, as shown in Figure 8, it can be set between the nose and mouth through a suitable wearing structure, and the breath flu detector can be placed between the nose and mouth. Among them, There are many options for the wearing structure. For example, the shell can be fixed between the nose and mouth by means of adhesive, and the area between the nose and the mouth or on both sides of the mouth can be selected, or it can be sandwiched between the septum and the nose. / Or the fixed structure of the two sides of the nose is provided with a housing and a respiratory air flu detector, or it is fixed by clamping and pasting at the same time, so there is no restriction. It can be any way to achieve fixation; and preferably, in addition to the commonly used plastic shell materials, the shell can also be made of soft or elastic materials to provide the best comfort.
該生理感測器則可用來取得睡眠期間更多的睡眠生理資訊,例如,可實施為加速度器,以取得睡眠姿勢、打鼾相關資訊等,也可實施為光感測器,以取得血氧濃度、心率等,也可實施為麥克風,以取得打鼾相關資訊等,且無論取得何種睡眠生理資訊,在與呼吸氣流變化相互搭配後,對於進一步瞭解睡眠呼吸障礙都是有意義的組合。 The physiological sensor can be used to obtain more sleep physiological information during sleep. For example, it can be implemented as an accelerometer to obtain sleep posture and snoring related information, and it can also be implemented as a light sensor to obtain blood oxygen concentration. , Heart rate, etc., can also be implemented as a microphone to obtain snoring related information, and no matter what kind of sleep physiological information is obtained, after matching with the changes of respiratory airflow, it is a meaningful combination for further understanding of sleep disordered breathing.
該至少一穿戴結構可實施為二穿戴結構,分別可移除地與該殼體相結合,以將殼體設置於其他身體部分,例如,額頭,耳朵,軀幹,手指,手腕,手臂等,此時,該生理感測器可建構以取得如血氧濃度變化、心率、打鼾相關資訊、睡眠姿勢、睡眠身體活動、日常身體活動等各種生理資訊,以作為另一種使用選擇,在此,特別地是,由於呼吸氣流感測器的取樣位置限定為口鼻之間,因此在殼體與設置於該處的穿戴結構分離時,可實施為亦與呼吸氣流感測器分離,因而在與另一穿戴結構相結合並設置於其他身體部分時,可以有更為簡便的結構。 The at least one wearing structure can be implemented as two wearing structures, which are respectively removably combined with the shell to install the shell on other body parts, such as forehead, ears, torso, fingers, wrists, arms, etc. At time, the physiological sensor can be constructed to obtain various physiological information such as blood oxygen concentration changes, heart rate, snoring-related information, sleep posture, sleep physical activity, daily physical activity, etc., as another use option, here, in particular Yes, since the sampling position of the respiratory air detector is limited to between the mouth and nose, when the housing is separated from the wearing structure provided there, it can be implemented to be separated from the respiratory air detector, and thus be separated from another When the wearing structure is combined and arranged on other body parts, a simpler structure can be provided.
另外,為了使用衛生及/或可供多人使用的考量,即使在不更換位置進行其他檢測的情形下,該呼吸氣流感測器以及該殼體之間亦可實施為可移除的形式,亦即,實施為可更換呼吸氣流感測器的形式,同樣具有優勢。 In addition, for the sake of sanitation and/or use by multiple people, even if the position is not changed for other tests, the breathing flu detector and the housing can be implemented in a removable form. In other words, it is also advantageous to implement it in the form of a replaceable breathing air flu detector.
該睡眠系統也可再包括一穿戴裝置,且該穿戴裝置上設置有另一生理感測器,例如,光感測器、加速度器、麥克風等,設置於如手腕、手指、軀幹、頭部等位置,以取得如血氧濃度變化、心率、呼吸動作、打鼾相關資訊、睡眠姿勢、睡眠身體活動等額外的睡眠生理資訊,如此一來,透過多種睡眠生理資訊間的比對,可更多元地進行判斷,舉例而言,在該呼吸氣流感測器可取得實際呼吸氣流變化的情形下,若搭配上設置於軀幹上的加速度器取得呼吸動作,就可判斷所發生的睡眠呼吸暫停事件及/或睡眠呼吸低通氣事件是屬於,胸腹仍有起伏的阻塞型睡眠呼吸暫停、或是胸腹沒有起伏的中樞型睡眠呼吸暫停。 The sleep system may further include a wearable device, and another physiological sensor is provided on the wearable device, for example, a light sensor, an accelerometer, a microphone, etc., which are set on the wrist, fingers, torso, head, etc. Position to obtain additional sleep physiological information such as changes in blood oxygen concentration, heart rate, breathing movement, snoring related information, sleep posture, sleep physical activity, etc. In this way, through the comparison of various sleep physiological information, more diversified For example, in the case that the respiratory air flu detector can obtain the actual respiratory airflow change, if it is combined with the accelerometer installed on the torso to obtain the breathing action, it can determine the occurrence of sleep apnea events and / Or sleep apnea event belongs to obstructive sleep apnea with fluctuations in the chest and abdomen, or central sleep apnea without fluctuations in the chest and abdomen.
該睡眠呼吸系統也可增設警示單元,以根據呼吸氣流變化及/或睡眠生理資訊而提供警示,其中,若睡眠生理資訊包括睡眠姿勢,則可用以執行睡眠姿勢訓練,及/或包括呼吸氣流變化及/或其他的睡眠生理資訊,則可用以執行睡眠呼吸生理反饋訓練,且該警示單元可設置於該殼體中,也可以利用一外部裝置,例如,與設置於該殼體內的通訊模組相互溝通的手環、手錶、手機等,故沒有限制。 The sleep breathing system can also be equipped with a warning unit to provide warnings based on changes in respiratory airflow and/or sleep physiological information. If the sleep physiological information includes sleep posture, it can be used to perform sleep posture training and/or include changes in respiratory airflow And/or other sleep physiological information can be used to perform sleep breathing physiological feedback training, and the warning unit can be arranged in the housing, or an external device, such as a communication module arranged in the housing There are no restrictions on bracelets, watches, mobile phones, etc. that communicate with each other.
至此可知,對本案的睡眠系統而言,如何設置於使用者身上有其重要性,尤其,警示單元提供的觸覺警示,例如,振動警示,需要殼體與設置位置的皮膚間有穩定且緊密的接觸,才能有效地將振動傳遞給使用者,另外,有許多生理感測器的生理資訊取得亦需與皮膚間有良好接觸,例如,光感測器的最佳取樣方式是微施壓於皮膚,姿勢感測器、加速度器等在貼緊皮膚的狀態下最能有效偵測到測睡眠姿勢、打鼾所造成的體腔振動、呼吸動作造成的胸腹起伏、睡眠期間的身體動作等。 So far, it can be seen that for the sleep system of this case, how to install it on the user is of great importance. In particular, the tactile warning provided by the warning unit, for example, the vibration warning, requires a stable and tight contact between the housing and the skin at the installation location. Vibration can be effectively transmitted to the user through contact. In addition, there are many physiological sensors that obtain physiological information that requires good contact with the skin. For example, the best sampling method for light sensors is to apply pressure to the skin. , Posture sensors, accelerometers, etc. are most effective in detecting sleeping postures, body cavity vibrations caused by snoring, chest and abdomen fluctuations caused by breathing, and body movements during sleep when they are tightly attached to the skin.
其中一種設置選擇是,將殼體黏貼於皮膚上,例如,透過黏附結構,只要殼體的尺寸適合,就能進行設置;另外,也可選擇利用彈性衣物作為設置殼體的媒介,以使殼體緊附於體表。 One of the setting options is to stick the shell on the skin, for example, through the adhesive structure, as long as the size of the shell is suitable, it can be set; in addition, you can also choose to use elastic clothing as a medium for setting the shell to make the shell The body is attached to the body surface.
實施方式是提供一固定結構,產生一固定力,以使該殼體設置於一衣物上,且該衣物的至少一部分可提供一彈力,以在使用者穿著該衣物時,對皮膚表面施加力量,如此一來,即形成包括該殼體、該衣物以及皮膚表面的一緊密層狀結構,而透過此緊密層狀結構以及該彈力,該殼體即可緊附於體表,無論是觸覺警示的提供,或是生理感測器的設置,皆能更有效果。 The embodiment is to provide a fixing structure to generate a fixing force so that the casing is arranged on a piece of clothing, and at least a part of the piece of clothing can provide an elastic force to exert force on the skin surface when the user wears the clothing. In this way, a compact layered structure including the shell, the clothing and the skin surface is formed, and through the compact layered structure and the elastic force, the shell can be tightly attached to the body surface, whether it is a tactile warning Provide, or set the physiological sensor, can be more effective.
其中,該殼體的設置位置有不同的選擇,可以設置於該衣物的內側,而夾設於該衣物與該皮膚表面之間,另外,也可設置於該衣物的外側,並透過該衣物而緊附於體表,此外,若生理感測器需自體表取得生理資訊,如光感測器,則在設置殼體時,還需注意將具生理感測器的表面朝向軀幹的皮膚表面。 There are different options for the location of the housing. It can be placed on the inside of the clothing and sandwiched between the clothing and the surface of the skin. In addition, it can also be placed on the outside of the clothing and can be placed through the clothing. Closely attached to the body surface. In addition, if the physiological sensor needs to obtain physiological information from the body surface, such as a light sensor, when setting the housing, pay attention to the surface with the physiological sensor facing the skin surface of the torso .
該固定結構與衣物的固定方式,可依實際需求而變化,沒有 限制,舉例而言,可實施為黏附於衣物上,例如,利用黏附結構將殼體黏設於衣物;也可實施為夾設結構,例如,機械力夾設結構、磁力夾設結構等,有各種選擇。 The fixing structure and the way of fixing clothes can be changed according to actual needs. Restrictions, for example, can be implemented as adhered to clothing, for example, the shell is adhered to clothing using an adhesive structure; it can also be implemented as a clamping structure, such as a mechanical clamping structure, a magnetic clamping structure, etc. Various options.
夾設結構的較佳實施方式是,具有可接收該殼體的一容置槽,以達成殼體與夾設結構間的結合,之後,只需將該夾設結構夾設於衣物上即可同時達成殼體的設置,相當方便,其中,根據需求不同,該容置槽可設置於衣服內側或外側,另外,若有生理感測器是設置於殼體表面,則殼體在放置容置槽中時,需注意將生理感測器露出,沒有限制。 A preferred embodiment of the clamping structure is to have a containing groove that can receive the shell to achieve the combination between the shell and the clamping structure, and then only need to clamp the clamping structure on the clothes. At the same time, the housing can be set up, which is quite convenient. According to different requirements, the accommodating groove can be set on the inside or outside of the clothes. In addition, if a physiological sensor is set on the surface of the housing, the housing is placed and accommodated. When it’s in the groove, you need to take care to expose the physiological sensor, there is no restriction.
當採用磁力夾設結構時,較佳的實施方式是,在殼體端設置一磁吸物質,以與隔著衣物的另一端的另一磁吸物質達成磁力相吸並固定的效果,其中,該磁吸物質可設置於殼體內,例如,在殼體內額外放置磁吸物質,或直接利用由金屬製成且可達成磁吸的電池作為磁吸物質,也可設置於殼體外,例如,與殼體一起設置於容置槽中,或嵌入在容置槽中,都是可實施的選擇;另外,該容置槽以及具有該另一磁吸物質的該另一端之間,還可進一步具有一彈性連接件,利用可彎折的特性而形成夾設的構想。 When the magnetic clamping structure is adopted, a preferred embodiment is to provide a magnetic material at the end of the housing to achieve the effect of magnetic attraction and fixation with another magnetic material on the other end of the clothing. The magnetic substance can be arranged in the casing, for example, an additional magnetic substance is placed in the casing, or a battery made of metal that can achieve magnetic attraction is directly used as the magnetic substance, or it can be arranged outside the casing, for example, with The housing is arranged in the containing groove together or embedded in the containing groove, both of which can be implemented; in addition, between the containing groove and the other end with the other magnetic substance, there may be further An elastic connecting piece uses the characteristic of being bendable to form a clamping concept.
在此,需注意地是,該衣物的彈力可以來自製作該衣物的材質,例如,彈性布料,也可以是衣物上外加的彈性物件,例如,縫製上的鬆緊帶,且該衣物除了可以是衣服,如緊身衣,內衣,褲子等外,也可以是設置於軀幹上其他的衣物上,例如,眼罩,環繞的帶體,例如,設置於軀幹上的RIP感測器,故沒有限制。 Here, it should be noted that the elasticity of the clothing can come from the material used to make the clothing, for example, elastic cloth, or it can be an elastic object added to the clothing, for example, an elastic band sewn, and the clothing can be in addition to clothing. In addition to tights, underwear, pants, etc., it can also be placed on other clothing on the torso, such as eye masks, surrounding belts, for example, RIP sensors placed on the torso, so there is no limitation.
至此可知,本案的睡眠生理系統,在不同的實施例中,根據使用需求的不同以及硬體配置的差異等,有不同的實施方式,例如,可選擇採用分散形式,或是選擇可依需求而改變設置位置等,也因此,如圖9所示,只要透過搭配不同的穿戴結構,例如,實施為殼體與穿戴結構間可移除的形式,就可簡單地達成設置於不同身體部分的需求,相當具有優勢。 So far, it can be seen that in different embodiments of the sleep physiological system in this case, there are different implementation methods according to different usage requirements and differences in hardware configuration. For example, a decentralized form can be selected, or the selection can be based on needs. Change the setting position and so on. Therefore, as shown in Figure 9, as long as by matching different wearing structures, for example, implementing a removable form between the shell and the wearing structure, the requirements for setting on different body parts can be easily achieved. , Quite advantageous.
在本創作再一方面的構想中,除了利用警示單元對身體產生警示而進行睡眠姿勢訓練及/或達到睡眠呼吸生理反饋外,針對阻塞型睡眠 呼吸暫停的症狀,還可利用口部閉合輔助件而達到改善的效果。口部閉合輔助件是在睡眠期間,設置於呼吸道周圍或附近,以達成改善呼吸道塌陷問題者。 In the concept of another aspect of this creation, in addition to using the warning unit to alert the body for sleep posture training and/or to achieve sleep breathing physiological feedback, it is aimed at obstructive sleep Symptoms of apnea can also be improved by using mouth closure aids. The mouth closure aid is placed around or near the respiratory tract during sleep to improve the problem of respiratory tract collapse.
下頦帶901,如圖10A所示,是已知的一種可改善打鼾、阻塞型睡眠暫停症狀的口部閉合輔助元件,其透過帶體環繞頭部並於下頦處施力,而讓使用者的下頦骨上提,並藉由口部閉合的動作牽動喉部肌肉,而使上呼吸道更容易維持通暢,如此一來,即使在肌肉放鬆的睡眠期間,亦可達到維持口部閉合及呼吸道維持暢通的效果,改善打鼾、阻塞型睡眠呼吸暫停的症狀。
The
另一種已知可用來改善睡眠期間呼吸道狹窄、及/或坍塌的口部閉合輔助件是口部定位貼合件902,如圖10B所示,其透過將上下唇定位在閉合狀態,而減少口部於睡眠期間出現張開的情形,其效果類似上述的下頦帶,可透過維持口部的閉合而達到牽動喉部肌肉的效果,以使上呼吸道更容易維持暢通,此外,透過這樣的方式,也避免了口部呼吸的情形,故也是另一種簡單且有效的選擇。 Another known mouth closure aid that can be used to improve airway stenosis and/or collapse during sleep is the mouth positioning fitting 902, as shown in FIG. 10B, which reduces the mouth by positioning the upper and lower lips in a closed state. The part opens during sleep, and its effect is similar to the above-mentioned chin strap. It can affect the muscles of the larynx by maintaining the closure of the mouth, so that the upper airway is easier to maintain. In addition, through this method It also avoids mouth breathing, so it is another simple and effective choice.
而由於設置口部閉合輔助件對於打鼾、阻塞型睡眠呼吸暫停/低通氣的改善情形,因人而異,例如,每個人喉部的構造不同、睡姿也不同,使得打開呼吸道的效果亦有所差別,因此,若可於使用期間同時取得生理資訊,例如,打鼾相關資訊,血氧濃度,心率,呼吸氣流變化,呼吸動作等,以得知呼吸道狹窄的症狀是否有改善,例如,氧減飽和度呼吸事件、低氧水平呼吸事件、心率變化呼吸事件、打鼾事件、睡眠呼吸暫停事件、及/或睡眠呼吸低通氣事件的發生次數是否減少,對使用者而言將是更具使用效益的組合方式。 However, the improvement of snoring and obstructive sleep apnea/hypopneas due to the setting of mouth closure aids varies from person to person. For example, each person has a different throat structure and sleeping posture, so that the effect of opening the airway is also effective. Therefore, if you can obtain physiological information during use, such as snoring information, blood oxygen concentration, heart rate, changes in respiratory airflow, breathing movements, etc., you can know whether the symptoms of respiratory tract stenosis have improved, for example, oxygen loss Whether the occurrence of saturation respiratory events, low oxygen level respiratory events, heart rate change respiratory events, snoring events, sleep apnea events, and/or sleep apnea events decreases, will be more effective for users Combination method.
因此,可搭配生理感測器,例如,光感測器,加速度器,呼吸氣流感測器,壓電動作感測器,阻抗偵測電極,RIP感測器,壓電振動感測器,及/或麥克風,一起使用。舉例而言,使用者可先利用光感測器於睡眠期間進行檢測,若發現出現血液生理睡眠呼吸事件,例如,氧減飽和度呼吸事件、低氧水平呼吸事件、心率變化呼吸事件,或是利用加速度器、 麥克風、及/或壓電振動感測器取得打鼾相關資訊,以瞭解是否出現打鼾呼吸事件,或是其他生理感測器,以取得其他的睡眠呼吸事件,之後,就可進一步於睡眠期間使用口部閉合輔助件,以維持呼吸道的通暢,並於使用的同時再次使用生理感測器進行生理監測,如此一來,就可清楚瞭解使用口部閉合輔助件所帶來的改善效果,例如,睡眠呼吸事件的發生是否減少,相當方便;再者,除了可得知使用所達成的效果如何外,也可用來作為調整口部閉合輔助件之設置的依據,例如,下頦帶的鬆緊度、設置角度等,或是口部定位貼合件的黏度、覆蓋範圍等,有助於更進一步提升使用效果。 Therefore, it can be used with physiological sensors, such as light sensors, accelerometers, respiratory air flu sensors, piezoelectric motion sensors, impedance detection electrodes, RIP sensors, piezoelectric vibration sensors, and / Or microphone, use together. For example, the user can first use the light sensor to detect during sleep, if a blood physiological sleep breathing event is found, for example, oxygen desaturation respiratory event, low oxygen level respiratory event, heart rate change respiratory event, or Using accelerometer, Microphones and/or piezoelectric vibration sensors obtain snoring-related information to understand whether snoring breathing events occur, or other physiological sensors to obtain other sleep-respiratory events. After that, the mouth can be further used during sleep. To maintain the patency of the respiratory tract, and use the physiological sensor again for physiological monitoring during use. In this way, you can clearly understand the improvement effect brought by the use of the oral closure aid, such as sleep Whether the occurrence of respiratory events is reduced is quite convenient. Furthermore, in addition to knowing the effect achieved by the use, it can also be used as a basis for adjusting the setting of the mouth closure aid, such as the tightness of the chin strap and setting The angle, etc., or the viscosity, coverage, etc. of the mouth positioning fittings, help to further improve the use effect.
在一較佳實施例中,該口部閉合輔助件可搭配一睡眠生理裝置,其包括一控制單元,至少包括微控制器/微處理器,一生理感測器,電連接至該控制單元,用以取得一使用者於一睡眠期間的睡眠呼吸生理資訊,一通訊模組,一電力模組,以及一穿戴結構,並透過該穿戴結構而設置於使用者身上,其中,該控制單元會分析睡眠呼吸生理資訊以得出睡眠呼吸事件,並利用資訊提供介面而提供予使用者,如此一來,使用者就能得知使用口部閉合輔助件所獲得的改善效果,相當方便。且由於有如上各種可用的生理感測器,且設置位置亦有許多選擇,例如,可設置於手指、手腕、軀幹、額頭、耳朵、口鼻之間等,因此,只要透過搭配各種的穿戴結構,例如,指戴結構,腕戴結構,頭戴結構,帶體,貼片等,或是直接設置於口部閉合輔助件上,就可輕鬆達成,極具優勢。 In a preferred embodiment, the mouth closure aid can be matched with a sleep physiology device, which includes a control unit, including at least a microcontroller/microprocessor, and a physiological sensor, electrically connected to the control unit, It is used to obtain the sleep breathing physiological information of a user during a sleep period, a communication module, a power module, and a wearable structure, and set it on the user through the wearable structure. The control unit analyzes The sleep breathing physiological information is used to obtain the sleep breathing event and provide it to the user using the information providing interface. In this way, the user can know the improvement effect obtained by using the mouth closure aid, which is very convenient. And because there are various physiological sensors available as above, and there are many options for setting positions, for example, they can be set between fingers, wrists, torso, forehead, ears, nose and mouth, etc., so just by matching various wearing structures For example, finger-wearing structure, wrist-wearing structure, head-wearing structure, belt body, patch, etc., or directly set on the mouth closure aid, can be easily achieved, which is extremely advantageous.
進一步地,可再搭配姿勢感測器,以取得睡眠姿勢相關資訊,在此情形下,藉由所取得的睡眠呼吸生理資訊以及睡眠姿勢相關資訊兩者間的相互比對,將可得知是否為姿勢性睡眠呼吸障礙,對於瞭解睡眠呼吸障礙的類型,更具助益。 Further, a posture sensor can be combined to obtain sleep posture related information. In this case, by comparing the obtained sleep breathing physiological information and sleep posture related information, it will be known whether It is postural sleep breathing disorder, which is more helpful for understanding the type of sleep breathing disorder.
又進一步,也可搭配警示單元,以在出現睡眠呼吸事件時,對使用者提供警示,並進行睡眠呼吸生理反饋訓練,如此一來,配合上口部閉合輔助件可幫助維持呼吸道暢通,兩者效果加成,更具優勢;再進一步,當同時具有生理感測器以及姿勢感測器時,警示單元還可實施為在睡眠期間執行睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練。因此,有各種可能, 沒有限制。 Furthermore, it can also be equipped with a warning unit to warn the user when a sleep breathing event occurs, and perform sleep breathing physiological feedback training. In this way, the upper mouth closure aid can help maintain the airway unblocked. Both The effect is added and has more advantages; furthermore, when both a physiological sensor and a posture sensor are provided, the warning unit can also be implemented to perform sleep posture training and/or sleep breathing physiological feedback training during sleep. Therefore, there are various possibilities, no limit.
另一方面,口部閉合輔助件也可與姿勢感測器以及警示單元一起進行睡眠姿勢訓練。舉例而言,在一較佳實施例中,可搭配一睡眠生理裝置,其包括一控制單元,至少包括微控制器/微處理器,一姿勢感測器,電連接至該控制單元,用以取得一使用者於一睡眠期間的睡眠姿勢相關資訊,一警示單元,電連接至該控制單元,用以於該睡眠期間對該使用者產生至少一警示,一通訊模組,一電力模組,以及一穿戴結構,並透過該穿戴結構而設置於使用者身上,以進行睡眠姿勢訓練,在此情形下,藉由口部閉合輔助件的幫助,讓上呼吸道變得更為暢通,將使睡眠姿勢訓練的效果更為顯著,而且,透過資訊提供介面,使用者將可瞭解使用口部閉合輔助件對於睡眠姿勢以及警示行為所產生的影響;在另一較佳實施例中,還可再搭配生理感測器,例如,光感測器,呼吸氣流感測器,加速度器,壓電動作感測器,阻抗偵測電極,RIP感測器,壓電振動感測器,麥克風等,取得睡眠期間的睡眠呼吸生理資訊,並得出睡眠呼吸事件,再透過資訊提供介面而提供予使用者,如此將能得知使用口部閉合輔助件對於改善睡眠呼吸障礙的效果。因此,有各種可能組合,沒有限制。 On the other hand, the mouth closure aid can also perform sleep posture training together with the posture sensor and the warning unit. For example, in a preferred embodiment, a sleep physiology device can be used, which includes a control unit, including at least a microcontroller/microprocessor, a posture sensor, and is electrically connected to the control unit for Obtain the sleep posture related information of a user during a sleep period, a warning unit, electrically connected to the control unit, for generating at least one warning for the user during the sleep period, a communication module, and a power module, And a wearable structure, which is set on the user through the wearable structure for sleep posture training. In this case, with the help of the mouth closure aid, the upper airway becomes more unobstructed and sleep The effect of posture training is more significant, and through the information providing interface, the user will be able to understand the impact of using the mouth closure aid on the sleeping posture and warning behavior; in another preferred embodiment, it can also be combined Physiological sensors, such as light sensors, respiratory and flu sensors, accelerometers, piezoelectric motion sensors, impedance detection electrodes, RIP sensors, piezoelectric vibration sensors, microphones, etc., to get sleep Physiological information of sleep breathing during the period is obtained, and the sleep breathing event is obtained, and then provided to the user through the information providing interface, so that the effect of using the mouth closure aid to improve sleep disordered breathing can be learned. Therefore, there are various possible combinations without limitation.
上述睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的實施是,睡眠姿勢相關資訊會與預設姿勢範圍進行比較,並在符合該預設姿勢範圍時決定警示行為,提供警示,以執行睡眠姿勢訓練,另外,睡眠呼吸生理資訊,例如,打鼾相關資訊,血氧濃度,呼吸動作,心率等,與預設條件進行比較,以在符合該預設條件時決定警示行為,並提供警示,以執行睡眠呼吸生理反饋訓練。上述警示的提供則為,控制單元會被建構以產生一驅動訊號,且警示單元在接收該驅動訊號後,會產生至少一警示,並將該至少一警示提供予該使用者,以達成睡眠姿勢訓練及/或睡眠呼吸生理反饋訓練的目的,其中,該驅動訊號實施為根據上述所決定的各種警示行為而產生。 The implementation of the above sleep posture training and/or sleep breathing physiological feedback training is that the sleep posture related information is compared with a preset posture range, and when the preset posture range is met, a warning behavior is determined, and a warning is provided to perform the sleep posture training In addition, sleep breathing physiological information, such as snoring-related information, blood oxygen concentration, breathing action, heart rate, etc., is compared with preset conditions to determine warning behaviors when the preset conditions are met, and provide warnings to perform sleep Respiratory physiological feedback training. The above-mentioned warning is provided in that the control unit is constructed to generate a driving signal, and after receiving the driving signal, the warning unit generates at least one warning, and provides the at least one warning to the user to achieve a sleeping posture The purpose of training and/or sleep-respiratory physiological feedback training, wherein the driving signal is implemented based on various warning behaviors determined above.
而上述的生理感測器、姿勢感測器、及/或警示單元則可實施為利用前述實施例中任何適合的睡眠生理裝置、睡眠呼吸生理裝置、或睡 眠警示裝置來達成,或者,也可實施為設置於一另一穿戴裝置中、或一外部裝置中,沒有限制,且進一步地,若口部閉合輔助件的設置位置正好是可設置生理感測器、姿勢感測器、及/或警示單元的位置,也可用來作為設置的媒介,例如,可用以將呼吸氣流感測器設置於口鼻之間,姿勢感測器/加速度器/麥克風可設置於頭頂或下巴等,讓設置更為簡便。 The aforementioned physiological sensor, posture sensor, and/or warning unit can be implemented using any suitable sleep physiology device, sleep breathing physiology device, or sleep physiology device in the foregoing embodiments. Sleep warning device can be achieved. Alternatively, it can also be implemented in another wearable device or an external device, without limitation, and further, if the position of the mouth closure aid is just set to be able to set physiological sensing The position of the sensor, posture sensor, and/or warning unit can also be used as a setting medium. For example, it can be used to place the breath and flu sensor between the nose and mouth, and the posture sensor/accelerator/microphone can be Set on the top of the head or chin to make the setting easier.
其中,特別地是,若採用頭戴結構時,尤其是帶體形式時,則還可進一步實施為,頭戴結構與下頦帶彼此相結合,以進一步增加設置的穩定性。 Among them, in particular, if a head-wearing structure is adopted, especially in the form of a belt body, it can be further implemented that the head-wearing structure and the chin strap are combined with each other to further increase the stability of the installation.
一般常見的下頦帶是如圖10A的形式,由於覆蓋於頭髮上,常容易出現滑動,導致設置穩定性下降,且睡眠期間脫落常無所察覺,最終導致使用效果不彰。而如圖10C所示,當與頭戴結構903相結合時,由於設置位置為額頭,且設置方向恰好會與下頦帶901產生交叉,故兩者的結合將能進一步為下頦帶提供橫向的限位力,也就是,藉由橫向與縱向帶體間的相互干涉,將可有效減少下頦帶的頭頂部分容易滑動的現象,讓整體設置更為穩定。
The common chin strap is as shown in Figure 10A. Because it is covered on the hair, it is often easy to slip, resulting in a decrease in the stability of the setting, and it is often unnoticeable to fall off during sleep, which ultimately leads to poor use. As shown in Figure 10C, when combined with the
進一步,還可有其他的變化情形,舉例而言,如圖10D所示,可於頭頂再多設置一帶體;或者,如圖10E所示,藉由頭帶橫向環繞頭部以提供與頭部間的相互干涉力量,如此下頦帶即可實施為僅縱向環繞頭部的下半部,而實施為此種情形時,則還可進一步變化,例如,頭帶部分變化為具有頭頂遮蔽部分、或不具頭頂遮蔽部分的帽子等。故有各種可能,不受限制。 Further, there can be other changes. For example, as shown in Figure 10D, one more strap can be placed on the top of the head; or, as shown in Figure 10E, the headband is horizontally wrapped around the head to provide In this way, the chin strap can be implemented to only surround the lower half of the head longitudinally, and when implemented in this situation, it can be further changed. For example, the headband part is changed to have a head covering part, Or hats that do not cover the top of the head. Therefore, there are various possibilities without limitation.
再者,該下頦帶與該頭戴結構間相結合的方式也可依實際實施情形而有所變化,例如,可藉由設置魔鬼氈、扣合結構、穿合結構等而相互結合,並因此而為可移除的形式,也可實施為直接縫合的形式,皆無限制,只要能夠達成兩者間之結合的方式皆可。 Furthermore, the way of combining the chin strap and the headwear structure can also vary according to actual implementation conditions. For example, it can be combined with each other by arranging devil felt, buckling structure, threading structure, etc., and Therefore, it is a removable form, or can be implemented as a direct stitch form, and there is no limitation, as long as the combination between the two can be achieved.
至此,需注意地是,上述的實施例中,無論是生理資訊的分析、判斷是否出現睡眠呼吸事件、決定是否提供警示、及/或警示行為的決定等,是透過各種軟體程式來達成,且各種軟體程式,不受限制地,可實 施為在任一個穿戴裝置中、及/或在外部裝置中進行運算,以達到使用者最為方便的操作型態,故可依實際需求而有所變化,沒有限制。 At this point, it should be noted that in the above embodiments, whether it is the analysis of physiological information, the determination of whether a sleep breathing event occurs, the determination of whether to provide warnings, and/or the determination of warning behaviors, etc., are achieved through various software programs, and A variety of software programs, unlimited, can be implemented The application is to perform calculations in any wearable device and/or in an external device to achieve the most convenient operation mode for the user, so it can be changed according to actual needs without limitation.
上述實施例中,用來將姿勢感測器、生理感測器、殼體、裝置、及/或系統設置於使用者身上的穿戴結構,可依實際需求的設置位置不同而有所改變,例如,材質可有所變化,且只要合適,同種形式的穿戴結構亦可設置於不同的身體部位,舉例而言,綁帶形式的穿戴結構可設置於身體能夠被環繞的任何部位,例如,頭帶,頸帶,胸帶,腹帶,臂帶,腕帶,指帶,腿帶等,且可實施為各種材質,例如,織物,矽膠,橡膠等,另外,黏附結構,例如,貼片,則是幾乎沒有設置位置的限制,只要能夠進行黏附的位置皆可,並且,也可黏附在使用者身上的衣物上;再者,特定的身體位置也可有專屬的穿戴結構,例如,頭部可以採用眼罩,尤其在睡眠期間使用相當適合,手臂可採用臂戴結構,手腕可採用腕戴結構,手指可採用指戴結構等,因此,實際的使用形式將不受上述實施例描述的限制,可以有各種可能。 In the above embodiments, the wearable structure used to install the posture sensor, the physiological sensor, the housing, the device, and/or the system on the user can be changed according to the actual needs of the installation position, for example , The material can be changed, and as long as it is appropriate, the same type of wearing structure can also be set on different body parts. For example, the strap-shaped wearing structure can be set on any part of the body that can be surrounded, such as a headband , Neck straps, chest straps, abdominal straps, arm straps, wrist straps, finger straps, leg straps, etc., and can be implemented in various materials, such as fabric, silicone, rubber, etc. In addition, adhesion structures, such as patches, are There is almost no restriction on the position, as long as the position can be adhered, and it can also be adhered to the clothes of the user; in addition, a specific body position can also have a dedicated wearing structure, for example, the head can be The use of eye masks is particularly suitable for use during sleep. Arms can be arm-worn structures, wrists can be wrist-worn structures, fingers can be finger-worn structures, etc. Therefore, the actual form of use will not be limited by the description of the above-mentioned embodiments. There are various possibilities.
而且,當各種可能的穿戴結構被用來承載殼體/裝置時,兩者間的結合方式也有各種實施可能,舉例而言,可透過黏附的方式結合,也可透過夾設的方式結合,例如,機械夾設,磁力夾設,也可透過套設的方式結合,例如,在穿戴結構上具有可套設殼體/裝置的結構,也可透過塞設的方式結合,例如,在穿戴結構上具有可塞設殼體/裝置的結構,只要可將殼體/裝置與穿戴結構的結合方式皆為適合的選擇,並且,各種結合方式還可再選擇實施為不可移除或可移除的形式。故可依實際需求而改變,不受限於上述實施例的描述。 Moreover, when various possible wearable structures are used to carry the housing/device, there are also various implementation possibilities for the combination of the two. For example, it can be combined by adhesion or by clamping, such as , Mechanical clamping and magnetic clamping can also be combined by means of sheathing. For example, there is a structure in which the casing/device can be sheathed on the wearing structure, and it can also be combined by plugging, for example, on the wearing structure It has a structure that can plug the casing/device, as long as the combination of the casing/device and the wearing structure is a suitable choice, and various combination methods can be selected to be non-removable or removable . Therefore, it can be changed according to actual needs, and is not limited to the description of the foregoing embodiment.
上述實施例中,任何的資訊,無論是利用生理感測器直接取得者,或是分析程式計算獲得者,或是有關操作流程的其他資訊,皆是透過資訊提供介面而提供予使用者,且資訊提供介面可實施為設置在系統中的任一或多個裝置上,沒有限制。 In the above-mentioned embodiment, any information, whether obtained directly by a physiological sensor, calculated by an analysis program, or other information related to the operation process, is provided to the user through the information providing interface, and The information providing interface can be implemented on any or multiple devices in the system without limitation.
另外,上述實施例中各種取得睡眠生理資訊的內容,皆可適用本文前面所提及的任何種類生理感測器、任何設置位置、以及任何根據 所取得生理資訊而執行的計算方式,僅是基於不重複贅述的原則而未逐一列舉,但本案所主張的權利範圍並不因此而受限。 In addition, the various content of obtaining sleep physiological information in the above-mentioned embodiments can be applied to any type of physiological sensor, any setting position, and any basis mentioned earlier in this article. The calculation method performed for the obtained physiological information is only based on the principle of non-repetition and not listed one by one, but the scope of rights claimed in this case is not limited by this.
並且,上述實施例中所提出的各個裝置,亦應適用本文前面所提及的電路配置,且可因應各個實施例欲取得之生理資訊不同以及設置位置不同而有所變化,同樣是基於不重複贅述的原則而未逐一列舉,但本案所主張的權利範圍並不因此而受限。 In addition, the various devices proposed in the above-mentioned embodiments should also be adapted to the circuit configuration mentioned earlier in this article, and can be changed according to the different physiological information to be obtained in the various embodiments and the different setting positions, which are also based on non-repetition. The principles are repeated without enumerating them one by one, but the scope of rights claimed in this case is not limited by this.
此外,上述各個實施例,不限於單獨實施,亦可二個或多個實施例的部分或整體結合或結合實施,同屬本案所主張的範圍,不受限制。 In addition, each of the above-mentioned embodiments is not limited to be implemented individually, and can also be implemented in part or in combination or in combination of two or more embodiments, which belong to the scope claimed in this case and are not limited.
100:睡眠生理系統 100: Sleep physiological system
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TWI815564B (en) * | 2022-07-20 | 2023-09-11 | 照互精準健康股份有限公司 | Sleep-assistance system and sleep-assistance method |
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