TWM651434U - Early warning system for autonomic dysfunction - Google Patents
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Abstract
Description
本創作是關於自律神經的技術領域,是一種基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統,以協助醫生(或專家)建立不同國家或不同種族之分析參數模型及協助醫生(或專家)經臨床問診所自訂之自律神經相關指標。 This creation is about the technical field of autonomic nervous system. It is an early warning system for autonomic nervous system disorder based on interactive heart rate variability analysis parameter model and indicator generation system to assist doctors (or experts) in establishing analysis parameter models of different countries or different races. Assist doctors (or experts) to clinically inquire about the autonomic nervous system-related indicators customized by the clinic.
現代人生活壓力過大,長期壓力累積會使身體釋放過多的類固醇、腎上腺素,因而傷害自律神經系統(Autonomic nervous system,ANS),使得系統中的交感神經及副交感神經失衡,而出現暈眩、胸悶、心悸、頭痛、煩躁、過度緊張焦慮等症狀,醫學上稱為「自律神經失調」;自律神經失調是用來形容難以用生理原因去解釋身體的症狀,按照現行的醫學定義來說,自律神經失調是屬於一種症狀相對輕微的精神性疾病,且根據最近的醫學研究指出,歐美地區大約有三成而台灣地區則有二成以上的比例人口曾經受到自律神經失調所帶來的痛苦,目前普遍名詞為「亞健康」;亞健康是指生理或心理是處於健康與疾病之間的模糊地帶,是一種動態變化,若不加以理會則可能會發展為疾病,若適時改善則可恢復到健康狀態。 Modern people's lives are too stressful. Long-term accumulation of stress will cause the body to release too much steroids and adrenaline, thus damaging the autonomic nervous system (ANS), causing an imbalance of the sympathetic and parasympathetic nerves in the system, leading to dizziness and chest tightness. Symptoms such as heart palpitations, headaches, irritability, excessive tension and anxiety are medically called "autonomic nervous system disorders"; autonomic nervous system disorders are used to describe physical symptoms that are difficult to explain by physiological reasons. According to the current medical definition, autonomic nervous system disorders Disorder is a mental illness with relatively mild symptoms. According to recent medical research, about 30% of the population in Europe and the United States and more than 20% of the population in Taiwan have suffered from the pain caused by autonomic nervous system disorder. It is currently a common term It is called "sub-health"; sub-health refers to the physical or psychological state that is in the fuzzy zone between health and disease. It is a dynamic change. If ignored, it may develop into a disease. If it is improved in time, it can be restored to a healthy state.
傳統上,心率變異分析(Heart rate variability,HRV)是一種量測連續心跳速率變化程度的方法,HRV測量因具有非侵入性、快速方便等優點,為當前評估自律神經功能正常與否的常見方法。該量測方法也被廣泛應用在心理或生理壓力的評估,其最常用以計算的方式為心電圖(electrocardiogram,ECG)中的每個心搏週期(heart cycle)可以劃分為多個波的總和,即P、Q、R、S及T,心電圖的另一個重要特徵是心搏週期的持續時間,這些基於RR間隔的長度(即連續R峰之間的距離)測量,並且通常通過測量個體的心臟(心率,HR)和變異性的變數進行匯總,成為一組數列,再進一步計算與分析;目前臨床使用的自律神經檢測儀,就是運用心率變異來分析自律神經平衡的狀態。 Traditionally, heart rate variability (HRV) analysis is a method of measuring the degree of changes in continuous heart rate. HRV measurement is a common method to evaluate whether the autonomic nervous system function is normal or not due to its non-invasive, fast and convenient advantages. . This measurement method is also widely used in the assessment of psychological or physiological stress. The most commonly used calculation method is that each heart cycle (heart cycle) in the electrocardiogram (ECG) can be divided into the sum of multiple waves. namely P, Q, R, S and T. Another important feature of the ECG is the duration of the cardiac cycle. These are measured based on the length of the RR interval (i.e. the distance between consecutive R peaks) and are usually measured by measuring the individual heart ( The variables of heart rate (HR) and variability are summarized into a set of numbers for further calculation and analysis. The autonomic nervous system detector currently used clinically uses heart rate variability to analyze the state of autonomic nervous system balance.
中華民國專利公開公告號第TW202211868A號專利案所揭露之判定一疲憊指數之方法和設備,主要包含接收生理信號;基於該等生理信號來產生複數個心率變異性參數;及基於該複數個心率變異性參數來判定該疲憊指數,但其僅能顯示疲憊指數,且並無能夠讓專家可以將相關的參數透過本專利來自定義指標。 The method and equipment for determining a fatigue index disclosed in the Republic of China Patent Publication No. TW202211868A mainly include receiving physiological signals; generating a plurality of heart rate variability parameters based on the physiological signals; and based on the plurality of heart rate variability parameters. Parameters can be used to determine the fatigue index, but it can only display the fatigue index, and does not allow experts to use relevant parameters to customize the index through this patent.
中華民國專利公開公告號第TWI670046B號專利案所揭露之一種同時用於心理壓力指數檢查和血壓檢查的測量裝置和方法。當測量裝置進入心理壓力測量模式,泵單元對氣囊單元進行變速加壓,壓力傳感單元的壓力信號確定為脈衝信號時,微處理器單元將控制泵單元停止加壓並測量脈搏信號以計算心理壓力指數;並根據心理壓力指數,根據一段時間內每個脈衝間隔的數據,計算正常與正常RR間期的標準差(SDNN)與連續RR間期的均方根差(RMSSD)的比值,雖能簡單判斷自律神經平衡,但無法收集人群數據產生該人群各年齡的 分析參數模型,可使受測者得知自己在同年齡同性別的比較狀況,例如受測者的SDNN是在中位數之上或之下。 The Republic of China Patent Publication Announcement No. TWI670046B discloses a measuring device and method for both psychological stress index examination and blood pressure examination. When the measuring device enters the psychological pressure measurement mode, the pump unit performs variable-speed pressurization of the air bag unit, and when the pressure signal of the pressure sensing unit is determined to be a pulse signal, the microprocessor unit will control the pump unit to stop pressurizing and measure the pulse signal to calculate the psychological pressure. Stress index; and based on the psychological stress index, based on the data of each pulse interval within a period of time, calculate the ratio of the standard deviation of normal and normal RR intervals (SDNN) to the root mean square difference (RMSSD) of consecutive RR intervals. It can easily judge the balance of autonomic nervous system, but it cannot collect population data to generate statistics for each age group. Analyzing the parameter model allows the subject to know his or her comparative status among the same age and gender, for example, whether the subject's SDNN is above or below the median.
有鑑於此,本創作係提供一種基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統,以解決先前技術的缺失。 In view of this, this invention provides an early warning system for autonomic nervous system disorders based on an interactive heart rate variability analysis parameter model and an indicator generation system to solve the deficiencies of previous technologies.
本創作之第一目的係提供一種基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統,可依參數自定義指標及其指標區間,係一種根據特定組群之生理特徵數據量化心律變異分析數值以建立參數模型並通過互動式介面定義相關健康指標。其中,特定組群可以是亞健康族與青少年等,於此不限制。就亞健康族而言,亞健康族可以藉由本創作從亞健康族之長時間運動過程所產生的SDNN(Standard deviation of NN intervals)獲得改善的目的,且使得相應的各項指標也能達到進一步的改善;以及,就青少年而言,青少年可以藉由本創作及早發現例如憂鬱且能夠達到預防治療的功效。 The first purpose of this creation is to provide an early warning system for autonomic nervous system disorders based on an interactive heart rate variability analysis parameter model and an indicator generation system. The indicators and their indicator ranges can be customized according to parameters. It is a system based on the physiological characteristic data of a specific group. Quantify heart rhythm variability analysis values to build parametric models and define relevant health indicators through an interactive interface. Among them, the specific group may be sub-healthy people, teenagers, etc., and is not limited thereto. As far as sub-healthy people are concerned, sub-healthy people can use this creation to improve the SDNN (Standard deviation of NN intervals) generated from the long-term exercise process of sub-healthy people, and make the corresponding indicators further reach the goal. Improvement; and, as far as teenagers are concerned, teenagers can use this invention to detect depression early and achieve preventive and treatment effects.
為達上述目的或其他目的,本創作係提供一種基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統。自律神經失調早期預警系統包含一殼體、一輸入單元、一處理單元與一顯示單元。殼體,係形成一第一部件與一第二部件,第一部件及/或第二部件具有至少一感測器。輸入單元係分別地設置在該至少一感測器,以接收相關於一心跳速率變化程度的一生理特徵數據且設置在該第二部件。處理單元係連接輸入單元。處理單元執行一應用程式,以將生理特徵數據產生具有至少一中位數的一分析參數模型且應用程式自生理特徵數據演算出該等參數,如一心跳間距標準差(SDNN)、一低頻 (LF)、一高頻(HF)或超低頻(VLF)之至少一者。應用程式將該等參數之至少一者的數據比對分析參數模型的中位數,以產生相應的複數指標。其中,分析參數模型係建立於一特定群體的生理特徵數據;顯示單元具有觸控功能係連接處理單元且設置在第一部件,以顯示相關於上述參數的項目指標。 In order to achieve the above purpose or other purposes, this invention provides an early warning system for autonomic nervous system disorder based on an interactive heart rate variability analysis parameter model and an indicator generation system. The early warning system for autonomic nervous system disorders includes a housing, an input unit, a processing unit and a display unit. The housing forms a first component and a second component, and the first component and/or the second component have at least one sensor. The input unit is respectively disposed on the at least one sensor to receive physiological characteristic data related to a heart rate change degree and is disposed on the second component. The processing unit is connected to the input unit. The processing unit executes an application program to generate an analysis parameter model with at least a median from the physiological characteristic data, and the application program calculates the parameters from the physiological characteristic data, such as a standard deviation of heartbeat intervals (SDNN), a low frequency (LF), a high frequency (HF) or a very low frequency (VLF) at least one. The application compares the data of at least one of the parameters to the median of the parameter model to generate the corresponding complex indicator. Among them, the analysis parameter model is established based on the physiological characteristic data of a specific group; the display unit has a touch function and is connected to the processing unit and is provided in the first component to display project indicators related to the above parameters.
進一步,更包含擷取單元,係連接該輸入單元,該擷取單元供擷取心臟的該生理特徵數據,其中該擷取單元在一預定時間內取得該心跳速率變化程度。 Furthermore, it further includes an acquisition unit connected to the input unit, and the acquisition unit is used to acquire the physiological characteristic data of the heart, wherein the acquisition unit acquires the heart rate change degree within a predetermined time.
進一步,其中該心跳速率變化程度係基於心率變異分析的方法所取得。 Further, the degree of change in the heart rate is obtained based on a heart rate variability analysis method.
進一步,其中該應用程式提供複數該分析參數模型,且該等分析參數模型具有相應的中位數,根據該等參數之至少一者產生相應的該項目指標,又該項目指標藉閥值在該等項目指標界定其指標區間。 Further, the application provides a plurality of the analysis parameter models, and the analysis parameter models have corresponding medians, and the corresponding project indicators are generated based on at least one of the parameters, and the project indicators are based on the threshold value at the and other project indicators to define their indicator ranges.
進一步,該應用程式更包含一使用者介面,醫生可藉由該使用者介面及具觸控的顯示單元挑選個別或複數項目指標,該項目指標為心力狀況、體力狀況、心情穩定度、壓力緊張度、心裡疲勞度與身體疲勞度、壓力累積度、長期壓力、日夜睡眠狀態、夢境品質與睡眠深淺之至少一者,或醫生可依參數組合自定義指標及其指標區間。 Furthermore, the application also includes a user interface through which doctors can select individual or multiple project indicators through the user interface and touch-sensitive display unit. The project indicators are mental status, physical condition, emotional stability, and stress. At least one of degree, mental fatigue and physical fatigue, stress accumulation, long-term stress, day and night sleep status, dream quality and sleep depth, or the doctor can customize the index and its index range based on the combination of parameters.
進一步,其中該應用程式更包含自定義指標模塊,係自該等參數中選擇一個或是多個以建立自定義指標,且該自定義指標也提供自訂閥值在該自定義指標界定其指標區間。 Furthermore, the application further includes a custom indicator module, which selects one or more of the parameters to create a custom indicator, and the custom indicator also provides a custom threshold to define its indicator. interval.
進一步,其中該應用程式更包含調整模塊,以調整該閥值,更包含警示模塊,在該應用程式將該心跳間距標準差、該低頻、該高頻與該超低頻的 參數比對該分析參數模型的該中位數之後,該參數與該中位數不相同時,該警示模塊產生警告訊息。 Further, the application further includes an adjustment module to adjust the threshold, and a warning module. In the application, the standard deviation of the heartbeat interval, the low frequency, the high frequency and the ultra-low frequency are calculated. After the parameter is compared with the median of the analysis parameter model, when the parameter is different from the median, the warning module generates a warning message.
相較於習知技術,本創作提供一種基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統,可自定義指標及其指標區間,能夠讓專家可以收集特定人群之心率變異,可定義各參數之中位數(排除極端值)並進一步依參數組合來自定義指標。 Compared with the conventional technology, this creation provides an early warning system for autonomic nervous system disorders based on an interactive heart rate variability analysis parameter model and an indicator generation system. The indicators and their indicator ranges can be customized, allowing experts to collect heart rate variability of specific groups of people. , you can define the median of each parameter (excluding extreme values) and further customize the indicator based on the combination of parameters.
10:自律神經失調早期預警系統 10: Early warning system for autonomic nervous system disorders
11:殼體 11: Shell
12:輸入單元 12:Input unit
15:處理單元 15: Processing unit
16:顯示單元 16:Display unit
17:電極擷取單元 17:Electrode acquisition unit
18:血氧測量單元 18: Blood oxygen measurement unit
20:血壓測量單元 20: Blood pressure measurement unit
22:體溫感測單元 22: Body temperature sensing unit
24:身份驗證單元 24: Identity verification unit
28:挾持件 28: Hijacking parts
30:腳墊 30: Foot pads
APP:應用程式 APP: application
BD:生理特徵數據 BD: physiological characteristic data
MD:中位數 MD: median
AIM:分析參數模型 AIM: Analytical Parametric Model
PT:參數 PT: parameters
IDX:項目指標 IDX: project indicator
VL:閥值 VL: threshold
UI:使用者介面 UI: User interface
M1:自定義指標模塊 M1: Custom indicator module
M2:調整模塊 M2: Adjustment module
M3:警示模塊 M3: Alert module
圖1係本創作一實施例之基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統的方塊圖;圖2係本創作另一實施例之互動式心率變異分析參數模型及指標產生系統的方塊圖;圖3係本創作另一實施例之互動式心率變異分析參數模型及指標產生系統的閥值示意圖。 Figure 1 is a block diagram of an early warning system for autonomic nervous system disorder based on an interactive heart rate variability analysis parameter model and an indicator generation system according to one embodiment of this invention; Figure 2 is a block diagram of an interactive heart rate variability analysis parameter model and an indicator generation system according to another embodiment of this invention. A block diagram of the indicator generation system; Figure 3 is a schematic diagram of the interactive heart rate variability analysis parameter model and the threshold value of the indicator generation system according to another embodiment of the present invention.
圖4係本創作一實施例之基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統的閥值示意圖。 Figure 4 is a threshold diagram of an early warning system for autonomic nervous system disorder based on an interactive heart rate variability analysis parameter model and an indicator generation system according to an embodiment of this invention.
為充分瞭解本創作之目的、特徵及功效,茲藉由下述具體之實施例,並配合所附之圖式,對本創作做一詳細說明,說明如後: 於本創作中,係使用「一」或「一個」來描述本文所述的單元、元件和組件。此舉只是為了方便說明,並且對本創作之範疇提供一般性的意義。因此,除非很明顯地另指他意,否則此種描述應理解為包括一個、至少一個,且單數也同時包括複數。 In order to fully understand the purpose, characteristics and effects of this invention, this invention is described in detail through the following specific embodiments and the attached drawings, as follows: In this work, “a” or “an” is used to describe the units, elements and components described herein. This is only for convenience of explanation and to provide a general sense of the scope of this creation. Accordingly, unless it is obvious otherwise, such description should be understood to include one, at least one, and the singular also includes the plural.
於本文中,用語「包含」、「包括」、「具有」、「含有」或其他任何類似用語意欲涵蓋非排他性的包括物。舉例而言,含有複數要件的一元件、結構、製品或裝置不僅限於本文所列出的此等要件而已,而是可以包括未明確列出但卻是該元件、結構、製品或裝置通常固有的其他要件。除此之外,除非有相反的明確說明,用語「或」是指涵括性的「或」,而不是指排他性的「或」。 As used herein, the terms “includes,” “includes,” “has,” “contains,” or any other similar term are intended to cover a non-exclusive inclusion. For example, an element, structure, article or device containing plural elements is not limited to the elements listed herein, but may include elements not expressly listed but that are generally inherent to the element, structure, article or device. Other requirements. Otherwise, unless expressly stated to the contrary, the term "or" means an inclusive "or" and not an exclusive "or".
請參考圖1,係本創作一實施例之自律神經失調早期預警系統10的立體示意圖。於圖1中,電極擷取單元17、血氧測量單元18、血壓測量單元20及體溫感測單元22均作為感測器,能夠讓受試者進行生理特徵的測量,例如生理特徵包含心律、心跳、血壓、血氧、體溫等。本創作之自律神經失調早期預警系統10包含一殼體11、感測單元、一處理單元15與具有觸控功能之一顯示單元16。於此,感測單元係以電極擷取單元17、血氧測量單元18、血壓測量單元20及體溫感測單元22之組合為例說明。 Please refer to FIG. 1 , which is a three-dimensional schematic diagram of an early warning system 10 for autonomic nervous system disorders according to an embodiment of the present invention. In Figure 1, the electrode acquisition unit 17, the blood oxygen measurement unit 18, the blood pressure measurement unit 20 and the body temperature sensing unit 22 are all used as sensors, allowing the subject to measure physiological characteristics. For example, the physiological characteristics include heart rhythm, Heartbeat, blood pressure, blood oxygen, body temperature, etc. The early warning system 10 for autonomic nervous system disorder of this invention includes a housing 11, a sensing unit, a processing unit 15 and a display unit 16 with a touch function. Here, the sensing unit is explained by taking the combination of the electrode acquisition unit 17, the blood oxygen measurement unit 18, the blood pressure measurement unit 20 and the body temperature sensing unit 22 as an example.
殼體11為提供一第一部件121與一第二部件123。於此,第一部件121與第二部件123以一角度設置而呈現L型結構為例說明,於其他實施例中,其角度設置不受限制。感測單元之血氧測量單元18設置在第一部件121,感測單元之電極擷取單元17、血壓測量單元20及體溫感測單元22設置在該第二部件123,於其他實施例中,感測單元的設置位置不受限制。於本實施例中,電極擷取單元17的數量是以二個為例說明。 The housing 11 provides a first component 121 and a second component 123 . Here, the first component 121 and the second component 123 are arranged at an angle to form an L-shaped structure as an example. In other embodiments, the angle arrangement is not limited. The blood oxygen measurement unit 18 of the sensing unit is provided in the first component 121, and the electrode acquisition unit 17, blood pressure measurement unit 20 and body temperature sensing unit 22 of the sensing unit are provided in the second component 123. In other embodiments, The installation location of the sensing unit is not limited. In this embodiment, the number of electrode capture units 17 is two as an example.
於另一實施例中,自律神經失調早期預警系統10更包含血氧測量單元18係設置於殼體11。血氧測量單元18能夠測量受試者的血氧濃度的生理特徵。於本實施例中,血氧測量單元18設置(例如附掛於殼體11)。 In another embodiment, the autonomic nervous system early warning system 10 further includes a blood oxygen measurement unit 18 disposed in the housing 11 . The blood oxygen measurement unit 18 is capable of measuring physiological characteristics of the subject's blood oxygen concentration. In this embodiment, the blood oxygen measurement unit 18 is provided (for example, attached to the housing 11).
於另一實施例中,自律神經失調早期預警系統10更包含掛架放置血壓測量單元20,能夠測量受試者的血壓的生理特徵。 In another embodiment, the autonomic nervous system early warning system 10 further includes a blood pressure measurement unit 20 placed on a hanger, capable of measuring physiological characteristics of the subject's blood pressure.
於另一實施例中,自律神經失調早期預警系統10更包含體溫感測單元22設置於第二部件123中能夠測量受試者的體溫、額溫與耳溫之至少一者的生理特徵。於此,第二部件123更包含挾持件28,以將體溫感測單元22固定設置。 In another embodiment, the autonomic nervous system early warning system 10 further includes a body temperature sensing unit 22 disposed in the second component 123 capable of measuring at least one of the physiological characteristics of the subject's body temperature, forehead temperature, and ear temperature. Here, the second component 123 further includes a holding member 28 to fix the body temperature sensing unit 22 .
於另一實施例中,自律神經失調早期預警系統10更包含身份驗證單元24,以能夠識別受試者的身份,例如身份驗證單元24可以是利用符合近場通訊協定的RFID進行身份的識別。於此,應用程式APP根據識別後的受試者身份,儲存或取得受試者經感測後的生理特徵數據。 In another embodiment, the autonomic nervous system early warning system 10 further includes an identity verification unit 24 to identify the identity of the subject. For example, the identity verification unit 24 may use RFID that complies with the near field communication protocol to identify the identity. Here, the application APP stores or obtains the subject's sensed physiological characteristic data based on the identified subject's identity.
於另一實施例中,自律神經失調早期預警系統10更包含按鈕26,以啟動或關閉處理單元15與顯示單元16。 In another embodiment, the autonomic nervous system early warning system 10 further includes a button 26 to activate or deactivate the processing unit 15 and the display unit 16 .
請參考圖2,係本創作一實施例之基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統的方塊圖。在圖2中,基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統10包含一殼體(圖未示)、一輸入單元12、一處理單元15與一顯示單元16。 Please refer to Figure 2, which is a block diagram of an early warning system for autonomic nervous system disorder based on an interactive heart rate variability analysis parameter model and an indicator generation system according to an embodiment of this invention. In FIG. 2 , an early warning system 10 for autonomic nervous system disorders based on an interactive heart rate variability analysis parameter model and an index generation system includes a housing (not shown), an input unit 12 , a processing unit 15 and a display unit 16 .
請參考圖3,係本創作另一實施例之基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統的方塊圖;該輸入單元12係接收相關於一心跳速率變化程度的一生理特徵數據BD;於此,心跳速率變化程度係基於心率變異分析的方法所取得。 Please refer to Figure 3, which is a block diagram of an early warning system for autonomic nervous system disorder based on an interactive heart rate variability analysis parameter model and an index generation system according to another embodiment of the present invention; the input unit 12 receives information related to a heart rate change degree. A physiological characteristic data BD; here, the heart rate change degree is obtained based on the heart rate variability analysis method.
於另一實施例中,輸入單元12可以透過電極擷取單元17自受試者擷取其心臟的生理特徵數據BD,例如電極擷取單元17可以包含電極片(或電極握桿)、放大電路、訊號處理電路、類比數位轉換電路等,其中電極擷取單元17可以藉由電極片或電極握桿取得受試者相應的肌電訊號;值得注意的是,心跳速率變化程度也可以基於心率變異分析的方法所取得,例如心率變異分析計算方式主要是分析藉由心電圖或脈搏量測所得到的心跳與心跳間隔的時間序列,例如藉由心電圖中的R波峰,藉由量測兩R波峰之間的時間間隔,再來利用離散傅立葉變換將心跳間隔的時間序列轉換為頻域,以功率頻譜密度或是頻譜分佈的方式表現,而一般心率變異訊號的頻譜分析,需使用200次至500次連續心跳間期穩定記錄表現,因此需要一記錄時間例如2分鐘;心跳間期頻譜頻率出現在1Hz以下,並主要可於0到0.4Hz的範圍內找到數個波峰。 In another embodiment, the input unit 12 can acquire the physiological characteristic data BD of the subject's heart through the electrode acquisition unit 17. For example, the electrode acquisition unit 17 may include an electrode sheet (or electrode grip) and an amplification circuit. , signal processing circuit, analog-to-digital conversion circuit, etc., among which the electrode acquisition unit 17 can obtain the corresponding myoelectric signal of the subject through the electrode sheet or electrode grip; it is worth noting that the degree of change in heart rate can also be based on heart rate variability. Obtained by analysis methods, such as heart rate variability analysis calculation method mainly analyzes the time series of heartbeats and heartbeat intervals obtained by electrocardiogram or pulse measurement, such as by measuring the R wave peak in the electrocardiogram, by measuring the difference between the two R wave peaks. The time interval between heartbeat intervals is then used to convert the time series of heartbeat intervals into the frequency domain using discrete Fourier transform, which is expressed in the form of power spectral density or spectral distribution. Generally, spectrum analysis of heart rate variability signals requires 200 to 500 times. Stable recording performance of continuous heartbeat intervals requires a recording time of, for example, 2 minutes; the frequency of the heartbeat interval spectrum appears below 1Hz, and several peaks can mainly be found in the range of 0 to 0.4Hz.
處理單元15連接輸入單元12;處理單元15執行一應用程式APP,以將特定群體的各年齡之生理特徵數據BD經去除極端值計算並產出具有至少一中位數MD的一分析參數模型AIM。應用程式APP自生理特徵數據BD演算出複數參數,如一心跳間距標準差(SDNN)、一低頻(LF)、一高頻(HF)或一超低頻(VLF)或其上述數據之組合,例如低頻(LF)與高頻(HF)的比值(LF/HF)、高頻(HF)加低頻(LF)之中低頻(LF)所佔之百分比(LF%)等,其中該心跳間距標準差於臨床意義可代表為自律神經整體活性的高低,該低頻之頻段的範圍可以在0.04Hz至0.15Hz並於臨床意義可代表為交感神經及副交感神經之活性,該高頻之頻段的範圍可以在0.15Hz至0.4Hz並於臨床意義可代表為副交感神經之活性,該超低頻之頻段的範圍所使用的頻率為≦0.04Hz,而低頻(LF)與高頻(HF)的比值(LF/HF)於臨床意義可代表為自律神經活性平衡;值得注 意的是,分析參數模型AIM與中位數MD的數量可以是一個或是多個,應用程式APP可以自多個分析參數模型AIM選擇出一個或是多個模型,且每一分析參數模型AIM都有其對應的中位數MD,且中位數MD還可以根據該等參數PT而不同;於此,分析參數模型AIM係根據特定群體的該生理特徵數據BD所建立的,其中該特定群體可以是100位運動員、50位65歲以上的老年人、20位30歲到50歲的青壯年、30位小學生等,例如取用50位18歲男生之LF,經專家依其臨床診斷的並藉由一使用者介面UI去除極端值計算後以幫助醫生產生該等18歲男生之分析參數模型AIM,其中最重要的是中位數MD。 The processing unit 15 is connected to the input unit 12; the processing unit 15 executes an application program APP to calculate the physiological characteristic data BD of each age group of a specific group by removing extreme values and generate an analytical parameter model AIM with at least a median MD. . The application APP calculates complex parameters from the physiological characteristic data BD, such as a standard deviation of heartbeat intervals (SDNN), a low frequency (LF), a high frequency (HF) or a very low frequency (VLF) or a combination of the above data, such as low frequency The ratio of (LF) to high frequency (HF) (LF/HF), the percentage of low frequency (LF) in high frequency (HF) plus low frequency (LF) (LF%), etc., where the standard deviation of the heartbeat interval is The clinical significance can be represented by the overall activity of the autonomic nervous system. The low-frequency band can range from 0.04Hz to 0.15Hz. The clinical significance can be represented by the activity of the sympathetic and parasympathetic nerves. The high-frequency band can range from 0.15 Hz to 0.4Hz and can represent the activity of parasympathetic nerves in clinical significance. The frequency used in the ultra-low frequency range is ≦0.04Hz, and the ratio of low frequency (LF) to high frequency (HF) (LF/HF) Its clinical significance can be represented by the balance of autonomic nervous system activity; it is worth noting It is noted that the number of analysis parameter models AIM and median MD can be one or more, and the application APP can select one or more models from multiple analysis parameter models AIM, and each analysis parameter model AIM have their corresponding median MD, and the median MD can also be different according to the parameters PT; here, the analysis parameter model AIM is established based on the physiological characteristic data BD of a specific group, where the specific group It can be 100 athletes, 50 elderly people over 65 years old, 20 young adults aged 30 to 50, 30 primary school students, etc. For example, LF of 50 18-year-old boys is taken, and the results are combined according to the clinical diagnosis by experts. A user interface UI is used to remove extreme values and calculate to help doctors generate the analytical parameter model AIM of these 18-year-old boys, the most important of which is the median MD.
於另一實施例中,處理單元15執行應用程式APP,根據該等參數PT之至少一者比對該分析參數模型AIM產生相應的項目指標IDX及其指標區間,醫生可用該使用者介面UI挑選個別或複數項目指標IDX或自定義指標及其指標區間,例如項目指標IDX可以為心力狀況、體力狀況、心情穩定度、壓力緊張度、心裡疲勞度與身體疲勞度、壓力累積度、長期壓力、日夜睡眠狀態、夢境品質與睡眠深淺之至少一者,或醫生可依參數組合自定義指標及其指標區間;又項目指標IDX藉閥值VL在項目指標IDX界定其指標區間,以一情境進行說明,該項目指標IDX其中之一的”心力狀況”採計該心跳間距標準差(SDNN),若該分析參數模型AIM的中位數定義為“正常”,則高於中位數MD約10個百分比以上可於該閥值VL上顯示為”心煩易怒”,低於中位數MD約10個百分比以下可於該閥值VL上顯示為”心灰意冷”。 In another embodiment, the processing unit 15 executes the application APP, and compares the analysis parameter model AIM with at least one of the parameters PT to generate the corresponding project indicator IDX and its indicator range, and the doctor can use the user interface UI to select Individual or multiple project indicators IDX or customized indicators and their indicator ranges. For example, project indicators IDX can be mental status, physical status, mood stability, stress tension, mental fatigue and physical fatigue, stress accumulation, long-term stress, At least one of day and night sleep state, dream quality and sleep depth, or the doctor can customize the indicator and its indicator range according to the parameter combination; the project indicator IDX uses the threshold VL to define its indicator range in the project indicator IDX, and illustrates it with a scenario , one of the project indicators IDX "cardiac status" adopts the standard deviation of the heartbeat interval (SDNN). If the median of the analysis parameter model AIM is defined as "normal", it will be about 10 MD higher than the median. A percentage above the threshold VL can be displayed as "upset and irritable", and a percentage below about 10 percentage points below the median MD can be displayed as "frustrated" on the threshold VL.
於另一實施例中,該應用程式APP更包含自定義指標模塊M1,係自該等參數PT中選擇一個或是多個以建立自定義指標模塊M1,且該自定義指標 模塊M1也提供自訂閥值在該自定義指標界定其指標區間,醫生可用該使用者介面UI自定義指標及該指標區間,例如於該自定義指標模塊M1設定自定義指標為”心力狀況”,並從該等參數PT選擇心跳間距標準差(SDNN),若該分析參數模型AIM的中位數定義為“正常”,則高於中位數MD約15個百分比以上可於自訂之閥值VL上設定顯示為”心煩易怒”,低於中位數MD約15個百分比以下可於自訂之閥值VL上設定顯示為”心灰意冷”。 In another embodiment, the application APP further includes a custom indicator module M1. One or more are selected from the parameters PT to create the custom indicator module M1, and the custom indicator Module M1 also provides a custom threshold to define the indicator range of the custom indicator. Doctors can use the user interface UI to customize the indicator and the indicator range. For example, in the custom indicator module M1, set the custom indicator to "mental status" , and select the standard deviation of the heartbeat interval (SDNN) from these parameters PT. If the median of the analysis parameter model AIM is defined as "normal", then the value higher than the median MD by about 15 percentage points can be set in the custom valve The value VL is set to display as "upset and irritable". If the value is less than about 15 percentage points below the median MD, the value can be set to display as "disheartened" on the customized threshold VL.
於另一實施例中,該應用程式APP更包含調整模塊M2,以調整該閥值VL,更包含警示模塊M3,在該應用程式APP將該心跳間距標準差、該低頻、該高頻或該超低頻的參數比對該分析參數模型AIM的該中位數MD之後,該參數與該中位數MD不相同時,該警示模塊M3產生警告訊息。 In another embodiment, the application APP further includes an adjustment module M2 to adjust the threshold VL, and a warning module M3 to adjust the heartbeat interval standard deviation, the low frequency, the high frequency or the After the ultra-low frequency parameters are compared with the median MD of the analysis parameter model AIM, when the parameter is different from the median MD, the warning module M3 generates a warning message.
顯示單元16係連接處理單元15,以顯示相關於該等參數PT的項目指標IDX。 The display unit 16 is connected to the processing unit 15 to display the project index IDX related to the parameters PT.
請參考圖4,係本創作一實施例之基於互動式心率變異分析參數模型及指標產生系統的自律神經失調早期預警系統的閥值示意圖,其中該閥值VL可以圖式表示且顯示於顯示單元16(圖未示),例如扇型、圓形、三角形等,並可以區分項目指標IDX所界定之其指標區間,例如"心力狀況”是項目指標IDX,當該閥值VL顯示”心煩易怒”,則指針將位於紅色區間。 Please refer to Figure 4, which is a schematic diagram of the threshold of the autonomic nervous system early warning system based on an interactive heart rate variability analysis parameter model and an indicator generation system according to an embodiment of this invention, in which the threshold VL can be represented graphically and displayed on the display unit 16 (not shown), such as fan, circle, triangle, etc., and can distinguish the indicator range defined by the project indicator IDX. For example, "mental state" is the project indicator IDX. When the threshold VL displays "upset and irritable" ”, the pointer will be in the red range.
於另一實施例中,一青年男性之該心跳間距標準差(SDNN)顯示53.2、其下方顯示該青年男性與該特定族群之SDNN相差之倍數例如1.95,並於顯示單元16顯示該項目指標IDX及該閥值VL,例如於該項目指標IDX之”心力狀況”顯示該閥值VL為”正常範圍”,則指針將位於藍色區段。 In another embodiment, the standard deviation of heartbeat intervals (SDNN) of a young male is displayed as 53.2, and below it is displayed a multiple of the difference between the young male and the SDNN of the specific ethnic group, such as 1.95, and the project indicator IDX is displayed on the display unit 16 And the threshold VL. For example, if the "mental status" of the project indicator IDX shows that the threshold VL is "normal range", the pointer will be in the blue section.
於另一實施例中,自律神經失調早期預警系統10更包含腳墊30,以增加殼體11的穩定度。 In another embodiment, the autonomic nervous system early warning system 10 further includes foot pads 30 to increase the stability of the housing 11 .
本創作在上文中已以較佳實施例揭露,然熟習本項技術者應理解的是,該實施例僅用於描繪本創作,而不應解讀為限制本創作之範圍。應注意的是,舉凡與該實施例等效之變化與置換,均應設為涵蓋於本創作之範疇內。因此,本創作之保護範圍當以申請專利範圍所界定者為準。 The present invention has been disclosed above with preferred embodiments. However, those familiar with the art should understand that the embodiments are only used to describe the invention and should not be interpreted as limiting the scope of the invention. It should be noted that all changes and substitutions that are equivalent to this embodiment should be deemed to be included within the scope of this invention. Therefore, the scope of protection of this invention shall be subject to the scope of the patent application.
10:自律神經失調早期預警系統 10: Early warning system for autonomic nervous system disorders
11:殼體 11: Shell
15:處理單元 15: Processing unit
16:顯示單元 16:Display unit
17:電極擷取單元 17:Electrode acquisition unit
18:血氧測量單元 18: Blood oxygen measurement unit
20:血壓測量單元 20: Blood pressure measurement unit
22:體溫感測單元 22: Body temperature sensing unit
24:身份驗證單元 24: Identity verification unit
28:挾持件 28: Hijacking parts
30:腳墊 30: Foot pads
APP:應用程式 APP: application
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