WO2018130036A1 - Multi-sensor cardiopulmonary coupling sleep quality detection system and detection method thereof - Google Patents

Multi-sensor cardiopulmonary coupling sleep quality detection system and detection method thereof Download PDF

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WO2018130036A1
WO2018130036A1 PCT/CN2017/115780 CN2017115780W WO2018130036A1 WO 2018130036 A1 WO2018130036 A1 WO 2018130036A1 CN 2017115780 W CN2017115780 W CN 2017115780W WO 2018130036 A1 WO2018130036 A1 WO 2018130036A1
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signal
sensor
electrocardiographic
sleep
analog
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PCT/CN2017/115780
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French (fr)
Chinese (zh)
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冯雪
陈毅豪
陆炳卫
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清华大学
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/30Input circuits therefor
    • A61B5/307Input circuits therefor specially adapted for particular uses
    • A61B5/308Input circuits therefor specially adapted for particular uses for electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/30Input circuits therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4815Sleep quality
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7207Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts
    • A61B5/721Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/7242Details of waveform analysis using integration

Definitions

  • the invention relates to a flexible electronic device technology, in particular to an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor and a detecting method thereof.
  • a syndrome is a sleep disorder in which breathing stops during sleep. The most common cause is obstruction of the upper airway, often ending with loud snoring, body twitching or arm twitching. Up to 98% of patients with sleep apnea will have snoring, usually with complications such as hypertension, myocardial infarction, myocardial hypoxia, and stroke. Even if you have enough time to sleep, you are still very tired and have serious health problems. According to the survey, the incidence of sleep apnea syndrome in foreign countries is 2% to 4%.
  • Various physiological sensors are used to monitor and record various physiological parameters during sleep. EEG, ECG, ECG, EOG, EMG EMG are recorded and analyzed. Anaesthesia of sleep breathing parameters such as chest-abdominal breathing, snoring, pulse, blood oxygen saturation, pulse wave, respiratory rate, and body position.
  • the polysomnography monitor needs to arrange many leads at various positions of the human body such as the mouth, nose, jaw, chest, legs, fingers, which will cause great harm to the sleep of the monitored patient.
  • Comfort the subject's sleep quality is reduced or even can not sleep; at the same time, the polysomnography is large, only suitable for use in hospitals, can not detect the sleep state of patients in different sleep environments.
  • Xiaomi's millet bracelet measures the movement of the body and upper limbs during sleep by the accelerometer, and uses the time of rest of the limb as the sleep time to further analyze the quality and state of sleep.
  • the millet bracelet is simple in equipment, low in cost, and has little influence on the sleep mode, it can only distinguish between sleep state and awake state, and cannot analyze the apnea condition.
  • Sleepace's Reston Smart Sleep Monitor judges sleep by measuring the heartbeat, breathing, turning over, and leaving the bed by placing the monitor under the sleeper. Although this smart sleep monitor does not require direct contact with the human body, It reduces the impact on sleep conditions, but it is a passive measurement, the measurement data is single, and the apnea cannot be judged.
  • the present invention proposes a cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor and a detecting method thereof.
  • the cardiopulmonary coupled sleep quality detecting system based on the ultra-thin flexible strain and electrocardiographic sensor of the invention comprises: a strain sensor, an electrocardiographic sensor, an analog to digital conversion circuit, an amplifying circuit, a filtering circuit, a microprocessor, a wireless transmission unit and a mobile terminal
  • the strain sensor and the ECG sensor are ultra-thin flexible sensors
  • the strain sensor is attached to the surface of the chest
  • the two ECG electrodes of the ECG sensor are respectively attached to the surface under the left chest
  • the strain sensor and the three The resistors with constant resistance form a Wheatstone bridge, and the two outputs of the Wheatstone bridge are electrically connected to the analog-to-digital conversion circuit
  • the ECG sensor is electrically connected to the analog-to-digital conversion circuit
  • the circuit and the microprocessor are electrically connected to form a signal acquisition and processing unit; the signal acquisition processing unit and the wireless transmission unit are electrically connected and integrated on
  • the analog-to-digital conversion circuit and the temperature compensation of the Wheatstone bridge are used to eliminate the influence of the body temperature and the ambient temperature change on the measurement of the chest undulation by the variable sensor; the beating of the heart causes a potential difference between the two electrodes of the ECG sensor.
  • the electrocardiographic signal is transmitted to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into digital signals respectively; the amplifying circuit amplifies the signal; the respiratory signal is directly recorded by the microprocessor through the filtering circuit; The electric signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit; The cardiopulmonary coupling algorithm is used to calculate the mutual power spectrum and coherence of the ECG signal and the respiratory signal, and the sleep state is determined, and the result is wirelessly transmitted to the mobile terminal through the wireless transmission unit for recording and display.
  • the strain sensor adopts a structure of a foil strain gauge, which comprises a bonding layer, a flexible substrate, a polymer protective layer, a device layer and a packaging film; wherein the flexible substrate and the packaging film are made of a biocompatible film; the bonding layer is directly contacted and bonded On the skin, high-viscosity bio-adhesive can effectively bind to the skin without causing allergic reactions to the skin; forming a flexible substrate on the bonding layer to carry the above device; forming a rigid polymer on the flexible substrate
  • the protective layer bears the deformation transmitted by the flexible substrate, reduces damage to the device layer, and functions to protect the device layer; forms a device layer on the polymer protective layer, and the device layer is a patterned metal film, which is malleable According to different functions, it is designed into different pattern shapes, and is designed to be malleable fractal structure to realize ductility; a package film is formed on the device layer, and the device is packaged as a whole.
  • the undulation of the chest cavity is transmitted to the protective layer through the flexible substrate, causing deformation of the protective layer, thereby stretching or compressing the device layer, so that the resistance of the device layer occurs.
  • the change causes the Wheatstone bridge that is composed of the strain sensor and the three fixed resistors to be unbalanced.
  • the output current is output through the two outputs of the Wheatstone bridge as a respiratory signal, and the body temperature is removed by the effect of the Wheatstone bridge.
  • the variable sensor measures the influence of chest undulation corresponding to the change of ambient temperature, and the frequency and amplitude of breathing are obtained by the output current.
  • the biocompatible film provides breathability, water repellency and low sensitization to provide biocompatibility for the entire device, enabling the strain sensor to work on the human body for up to 24 hours.
  • the package film also uses a biocompatible film to protect the functional device. The structure is complete and the circuit function and biocompatibility are not destroyed by external liquids.
  • the electrocardiographic sensor comprises two electrocardiographic electrodes, a serpentine lead wire and a connecting end; wherein the two electrocardiographic electrodes have a distance therebetween; the two electrocardiographic electrodes are respectively connected to the connecting end by a ductile serpentine lead wire; The end is connected to the input end of the analog-to-digital conversion circuit; each of the electrocardiographic electrodes adopts a grid structure, and the lines forming the grid are curved serpentine lines, so that the electrocardiographic electrodes are malleable, and are not attached to the surface of the human body. It will be damaged by skin deformation; the beating of the heart causes a potential change, and a potential difference is generated between two ECG electrodes having a certain distance. As an ECG signal, an electrocardiogram is obtained through the ECG signal, indicating the activity characteristics of the heart.
  • the wireless transmission unit uses Bluetooth communication to wirelessly transmit the resulting signal to the paired mobile terminal for recording and display.
  • the sleep state includes shallow sleep, deep sleep and waking; the coupled power is read out through the mutual power spectrum, and the sleep state is judged according to the frequency band in which the coupled power is located; the excessive power of the low frequency band is related to the periodic breathing of the sleep disordered breathing device, Excessive power in the high frequency band is associated with physiological sinus arrhythmia and deep sleep. If the coupled power is in the ultra-low frequency band, it is awake or deep sleep, and the ultra-low frequency band is 0.001 to 0.01 Hz; if the coupling power is in the low frequency band, it is light sleep, and the low frequency band is 0.01-0.1 Hz.
  • Another object of the present invention is to provide a cardiopulmonary coupled sleep quality detecting method based on an ultra-thin flexible strain and electrocardiographic sensor.
  • the strain sensor is attached to the surface of the chest, and the two ECG electrodes of the ECG sensor are respectively attached to the surface under the left chest; the strain sensor and the three resistance-changing resistors constitute the Wheatstone bridge, Wheatstone bridge
  • the two output terminals are electrically connected to the analog-to-digital conversion circuit;
  • the electrocardiographic sensor is electrically connected to the analog-to-digital conversion circuit;
  • the analog-to-digital conversion circuit, the amplification circuit, the filter circuit, and the microprocessor are sequentially electrically connected to form a signal acquisition and processing unit; signal acquisition processing
  • the unit and the wireless transmission unit are electrically connected and integrated on one circuit board; the mobile terminal is located outside the human body.
  • the cardiopulmonary coupled sleep quality detecting method based on the ultra-thin flexible strain and electrocardiographic sensor of the invention comprises the following steps:
  • an analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into a digital signal; the amplification circuit amplifies the signal;
  • the electrocardiogram signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit;
  • the microprocessor applies the cardiopulmonary coupling algorithm to calculate the cross-power spectrum and coherence of the ECG signal and the respiratory signal, reads the coupled power from the cross-power spectrum, determines the state of sleep, and judges the sleep state, and transmits the result wirelessly.
  • the unit transmits to the mobile terminal for recording and display.
  • the cardiopulmonary coupling algorithm calculates the cardiopulmonary coupling index, comprising the steps of: first identifying the QRS complex of the electrocardiogram, detecting the time and magnitude of the occurrence of the R peak, and processing the RR interval signal to obtain The normal heartbeat interval (NN interval), the re-sampling of the respiratory signal measured by the flexible strain sensor, adjusting the sampling frequency, calculating the NN interval and the mutual power spectrum and the coherence of the respiratory signal, thereby obtaining the cardiopulmonary Coupling (CPC) power spectrum.
  • N interval normal heartbeat interval
  • CPC cardiopulmonary Coupling
  • the sleep state is determined by the cardiopulmonary coupling index; the sleep state includes shallow sleep, deep sleep, and awake; the coupled power is read by the cross power spectrum, and the sleep state is determined according to the frequency band in which the coupled power is located; When the coupling power is in the ultra-low frequency band, it is awake or deep sleep, and the ultra-low frequency band is 0.001 to 0.01 Hz; if the coupling power is in the low frequency band, it is light sleep, and the low frequency band is 0.01 to 0.1 Hz.
  • the invention adopts an ultra-thin and flexible sensor, can be easily attached to the body surface of the sleeper, does not cause any discomfort or restraint feeling, and basically does not feel the presence of the sensor during the measurement, and minimizes the sleeper's
  • the effect truly reflects the state of the sleeper's sleep; the respiratory and electrocardiographic signals are measured by using an ultra-thin flexible sensor, and then the cardiopulmonary coupling algorithm is used to comprehensively analyze the respiratory and electrocardiographic signals to obtain the quantitative index parameters of the patient's sleep quality.
  • the signal is transmitted to the mobile terminal wirelessly, the overall system is small in size, and can be conveniently used in different sleeping occasions; the invention is simple and easy, the accuracy is high, and the use is convenient Comfortable.
  • FIG. 1 is a structural block diagram of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention
  • FIG. 2 is an exploded view of a strain sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention
  • FIG. 3 is a schematic diagram of an electrocardiographic sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention
  • FIG. 4 is a top plan view of a device layer of a strain sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and electrocardiographic sensor of the present invention
  • FIG. 5 is a schematic diagram of one embodiment of a cardiopulmonary coupled sleep quality detection system based on an ultra-thin flexible strain and electrocardiographic sensor applied to sleep detection according to the present invention.
  • the cardiopulmonary coupled sleep quality detecting system based on the ultra-thin flexible strain and electrocardiographic sensor of the embodiment includes: a strain sensor, an electrocardiographic sensor, an analog-to-digital conversion circuit, an amplifying circuit, a filtering circuit, and a microprocessor.
  • the strain sensor and the electrocardiographic sensor are ultra-thin flexible sensors, the strain sensor and three resistance-changing resistors form a Wheatstone bridge, and the two outputs of the Wheatstone bridge
  • the electrical connection is electrically connected to the analog-to-digital conversion circuit; the electrocardiographic sensor is electrically connected to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit, the amplification circuit, the filter circuit and the microprocessor are electrically connected in sequence to form a signal acquisition and processing unit.
  • the strain sensor 1 includes an adhesive layer, a flexible substrate 11, a polymer protective layer 12, a device layer 13, and a package film 14; wherein a flexible substrate 11 is formed on the adhesive layer; and formed on the flexible substrate 11.
  • the electrocardiographic sensor 2 includes two electrocardiographic electrodes 21, a serpentine lead wire 22, and a connecting end 23; wherein, the two electrocardiographic electrodes 21 have a distance therebetween; and the two electrocardiographic electrodes respectively extend through the extensible
  • the serpentine lead wire 22 is connected to the connection end 23; the connection end is connected to the input end of the analog to digital conversion circuit; each electrocardiographic electrode adopts a grid structure, and the lines constituting the grid are curved serpentine lines.
  • the device layer 13 is a patterned metal film.
  • the strain sensor 1 when detecting the sleep quality of the patient, the strain sensor 1 is attached to the surface of the front chest, and the two electrocardiographic electrodes of the electrocardiographic sensor 2 are respectively attached to the surface 5 cm below the left breast left breast; signal acquisition Processing unit and wireless transmission unit Electrically connected and integrated on a circuit board 3; the mobile terminal 4 is located outside the human body.
  • the wireless transmission unit uses Bluetooth transmission.
  • an analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into a digital signal; the amplification circuit amplifies the signal;
  • the electrocardiogram signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit;
  • the microprocessor applies the cardiopulmonary coupling algorithm to calculate the mutual power spectrum and coherence of the ECG signal and the respiratory signal, determines the sleep state, and transmits the result to the mobile terminal through the wireless transmission unit for recording and display.

Abstract

A multi-sensor cardiopulmonary coupling sleep quality detection system and a detection method thereof. An ultra-thin flexible strain sensor (1) and an ECG sensor (2) are lightly attached to the body surface of a sleeper without causing any discomfort or sensation of restriction, such that the presence of the sensors cannot be felt during measurement and the impact on the sleeper is reduced to the greatest extent, thus truly reflecting the state of the sleeper when sleeping; the ultra-thin flexible sensors are used to measure breathing and ECG signals and a cardiopulmonary coupling algorithm is used to comprehensively analyse the breathing and ECG signals in order to obtain quantitative index parameters of the sleep quality of the patient and the times of apnoeic characteristics of apnoea syndrome; the signals are transmitted to a mobile terminal using a wireless method; and the volume of the entire system is small, facilitating use in different sleeping scenarios, and being easy to operate, highly accurate, convenient to use, and comfortable.

Description

一种多传感器心肺耦合睡眠质量检测系统及其检测方法Multi-sensor cardiopulmonary coupled sleep quality detecting system and detecting method thereof 技术领域Technical field
本发明涉及柔性电子器件技术,具体涉及一种基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统及其检测方法。The invention relates to a flexible electronic device technology, in particular to an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor and a detecting method thereof.
背景技术Background technique
人的一生有三分之一的时间是在睡眠中度过的,睡眠对人的重要性已经越来越被人们所重视,睡眠质量的影响,以及睡眠疾病的危害也日益清晰。呼吸暂停综合症是一种睡眠时呼吸停止的睡眠障碍。最常见的原因是上呼吸道阻塞,经常以大声打鼾、身体抽动或手臂甩动结束。高达98%的睡眠呼吸中止症患者会打鼾,通常还合并有高血压、心肌梗塞、心肌缺氧、中风等并发症。即使睡足了时间还是很累,潜藏着严重的健康问题。调查研究表明,国外睡眠呼吸暂停综合征的发病率是2%~4%,根据临床统计,我国的发病率应该在9%,伴随着我国生活水平的提高,肥胖症的增加,近二十年来呈现逐年上升的趋势。患有呼吸暂停综合征时,由于反复发作的低血氧、高碳酸血症,可致神经功能失调,儿茶酚胺、内皮素及肾素-血管紧张素系统失调,内分泌功能紊乱及血液动力学改变,造成全身多器官多系统损害,严重影响人体健康,容易并发心律失常、高血压甚至呼吸衰竭、猝死。对于睡眠和呼吸情况的监测,可以有效判断和评估睡眠质量以及呼吸暂停综合征的患病风险。现在医院中大多使用多导睡眠监测仪进行睡眠障碍疾病的诊断,通过多种传感器监测记录睡眠时的各种生理参数,记录分析脑电图EEG、心电图ECG、眼电图EOG、肌电图EMG、胸腹式呼吸运动、鼾声、脉搏、血氧饱和度、脉搏波、呼吸频率、体位等睡眠呼吸参数进行分析诊断。但是,为了得到相应的信号,多导睡眠监测仪需要在人体各个位置例如口、鼻、下颌、胸前、腿、手指处布置许多引线,这样就会对被监测患者的睡眠造成极大的不舒适感,导致被试者睡眠质量下降甚至无法入睡;同时,多导睡眠监测仪体积较大,只适合在医院使用,无法针对病患在不同睡眠环境下的睡眠状态进行检测。One third of a person's life is spent in sleep. The importance of sleep to people has become more and more important, and the impact of sleep quality and the dangers of sleep diseases are becoming clearer. Apnea syndrome is a sleep disorder in which breathing stops during sleep. The most common cause is obstruction of the upper airway, often ending with loud snoring, body twitching or arm twitching. Up to 98% of patients with sleep apnea will have snoring, usually with complications such as hypertension, myocardial infarction, myocardial hypoxia, and stroke. Even if you have enough time to sleep, you are still very tired and have serious health problems. According to the survey, the incidence of sleep apnea syndrome in foreign countries is 2% to 4%. According to clinical statistics, the incidence rate in China should be 9%. With the improvement of living standards in China, the increase of obesity has been in the past two decades. It shows a trend of increasing year by year. In patients with apnea syndrome, due to recurrent hypoxemia, hypercapnia, neurological dysfunction, catecholamine, endothelin and renin-angiotensin system disorders, endocrine dysfunction and hemodynamic changes, Causes multiple system and multiple system damage, which seriously affects human health, easily complicated by arrhythmia, high blood pressure and even respiratory failure, sudden death. For sleep and respiratory monitoring, the quality of sleep and the risk of apnea syndrome can be effectively judged and assessed. At present, most hospitals use polysomnography to diagnose sleep disorders. Various physiological sensors are used to monitor and record various physiological parameters during sleep. EEG, ECG, ECG, EOG, EMG EMG are recorded and analyzed. Anaesthesia of sleep breathing parameters such as chest-abdominal breathing, snoring, pulse, blood oxygen saturation, pulse wave, respiratory rate, and body position. However, in order to obtain the corresponding signals, the polysomnography monitor needs to arrange many leads at various positions of the human body such as the mouth, nose, jaw, chest, legs, fingers, which will cause great harm to the sleep of the monitored patient. Comfort, the subject's sleep quality is reduced or even can not sleep; at the same time, the polysomnography is large, only suitable for use in hospitals, can not detect the sleep state of patients in different sleep environments.
小米公司的小米手环通过加速度计测量使用者睡眠时身体和上肢运动的情况,以肢体静止的时间作为睡眠时间,从而进一步分析睡眠质量和状态。小米手环虽然设备简单、成本低、采集方式对睡眠的影响小,但是只能区分睡眠状态和清醒状态,不能分析呼吸暂停的情况。Xiaomi's millet bracelet measures the movement of the body and upper limbs during sleep by the accelerometer, and uses the time of rest of the limb as the sleep time to further analyze the quality and state of sleep. Although the millet bracelet is simple in equipment, low in cost, and has little influence on the sleep mode, it can only distinguish between sleep state and awake state, and cannot analyze the apnea condition.
Sleepace公司的reston智能睡眠监测器通过将监测器铺于睡眠者身下,通过检测心跳、呼吸、翻身、离床等数据判断睡眠状况。虽然这种智能睡眠监测器不需要与人体直接接触, 降低了对睡眠状况的影响,但是属于被动式测量,测量数据单一,不能判断呼吸暂停的情况。Sleepace's Reston Smart Sleep Monitor judges sleep by measuring the heartbeat, breathing, turning over, and leaving the bed by placing the monitor under the sleeper. Although this smart sleep monitor does not require direct contact with the human body, It reduces the impact on sleep conditions, but it is a passive measurement, the measurement data is single, and the apnea cannot be judged.
发明内容Summary of the invention
针对以上现有技术中存在的问题,本发明提出了一种基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统及其检测方法。In view of the above problems in the prior art, the present invention proposes a cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor and a detecting method thereof.
本发明的一个目的在于提出一种基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测系统。It is an object of the present invention to provide a cardiopulmonary coupled sleep quality detection system based on an ultra-thin flexible strain and electrocardiographic sensor.
本发明的基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测系统包括:应变传感器、心电传感器、模数转换电路、放大电路、滤波电路、微处理器、无线传输单元和移动终端;其中,应变传感器和心电传感器均为超薄柔性的传感器,应变传感器贴附在前胸的表面,心电传感器的两个心电电极分别贴附在左胸下方的表面;应变传感器与三个阻值不变的电阻组成惠斯通电桥,惠斯通电桥的两个输出端电学连接至模数转换电路;心电传感器电学连接至模数转换电路;模数转换电路、放大电路、滤波电路和微处理器依次电学连接构成信号采集处理单元;信号采集处理单元和无线传输单元电学连接,并集成在一块电路板上;移动终端位于人体外;胸腔的起伏导致应变传感器的阻值发生改变,引起惠斯通电桥不平衡,从而产生电流,作为呼吸信号输出至模数转换电路,并通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响;心脏的跳动引起心电传感器的两个电极之间产生电势差,作为心电信号传输至模数转换电路;模数转换电路将模拟的呼吸信号和心电信号分别转换为数字信号;放大电路对信号进行放大;呼吸信号直接经过滤波电路由微处理器记录;心电信号经过滤波电路,进行过滤去除噪声信号和高频信号;微处理器将心电信号合成为心电图信号,并记录心电图信号;呼吸信号和心电图信号通过无线传输单元传输至移动终端;微处理器应用心肺耦合算法计算心电图信号与呼吸信号的互功率谱与相干度,判断得到睡眠状态,并将结果通过无线传输单元以无线的方式传输至移动终端,进行记录并显示。The cardiopulmonary coupled sleep quality detecting system based on the ultra-thin flexible strain and electrocardiographic sensor of the invention comprises: a strain sensor, an electrocardiographic sensor, an analog to digital conversion circuit, an amplifying circuit, a filtering circuit, a microprocessor, a wireless transmission unit and a mobile terminal Among them, the strain sensor and the ECG sensor are ultra-thin flexible sensors, the strain sensor is attached to the surface of the chest, and the two ECG electrodes of the ECG sensor are respectively attached to the surface under the left chest; the strain sensor and the three The resistors with constant resistance form a Wheatstone bridge, and the two outputs of the Wheatstone bridge are electrically connected to the analog-to-digital conversion circuit; the ECG sensor is electrically connected to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit, the amplification circuit, and the filter The circuit and the microprocessor are electrically connected to form a signal acquisition and processing unit; the signal acquisition processing unit and the wireless transmission unit are electrically connected and integrated on one circuit board; the mobile terminal is located outside the human body; and the fluctuation of the chest cavity causes the resistance of the strain sensor to change. , causing the Wheatstone bridge to be unbalanced, thereby generating current as a respiratory signal output The analog-to-digital conversion circuit and the temperature compensation of the Wheatstone bridge are used to eliminate the influence of the body temperature and the ambient temperature change on the measurement of the chest undulation by the variable sensor; the beating of the heart causes a potential difference between the two electrodes of the ECG sensor. The electrocardiographic signal is transmitted to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into digital signals respectively; the amplifying circuit amplifies the signal; the respiratory signal is directly recorded by the microprocessor through the filtering circuit; The electric signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit; The cardiopulmonary coupling algorithm is used to calculate the mutual power spectrum and coherence of the ECG signal and the respiratory signal, and the sleep state is determined, and the result is wirelessly transmitted to the mobile terminal through the wireless transmission unit for recording and display.
应变传感器采用箔式应变片的结构,包括粘接层、柔性基底、聚合物保护层、器件层和封装薄膜;其中,柔性基底和封装薄膜采用生物兼容薄膜;粘接层直接接触并粘接在皮肤上,采用高粘度的生物胶,能够有效和皮肤粘接的同时不会引起皮肤的过敏反应;在粘接层上形成柔性基底,以承载上面的器件;在柔性基底上形成刚性的聚合物保护层,承受由柔性基底传递来的变形,减低对器件层的损坏,起到保护器件层的作用;在聚合物保护层上形成器件层,器件层为具有图案的金属薄膜,具有可延展性,根据不同的功能设计成不同的图案形状,通过设计成为可延展的分形结构来实现可延展性;在器件层上形成封装薄膜,将器件整体包 裹起来,保护电子元件不受外界因素的影响,防水防尘;胸腔的起伏通过柔性基底传递至保护层,引起保护层的变形,从而对器件层形成拉伸或压缩,使得器件层的电阻发生改变,引起应变传感器与三个定值的电阻组成的惠斯通电桥不平衡,通过惠斯通电桥的两个输出端输出电流,作为呼吸信号,通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响,通过输出的电流得到呼吸的频率和幅度。利用生物兼容性膜的透气防水性、低致敏性为整体器件提供生物兼容性,使得应变传感器能够在人体表面工作时间长达24小时以上;封装薄膜同样使用生物兼容薄膜,以保护功能器件的结构完整,不被外部液体破坏电路功能和生物兼容性。The strain sensor adopts a structure of a foil strain gauge, which comprises a bonding layer, a flexible substrate, a polymer protective layer, a device layer and a packaging film; wherein the flexible substrate and the packaging film are made of a biocompatible film; the bonding layer is directly contacted and bonded On the skin, high-viscosity bio-adhesive can effectively bind to the skin without causing allergic reactions to the skin; forming a flexible substrate on the bonding layer to carry the above device; forming a rigid polymer on the flexible substrate The protective layer bears the deformation transmitted by the flexible substrate, reduces damage to the device layer, and functions to protect the device layer; forms a device layer on the polymer protective layer, and the device layer is a patterned metal film, which is malleable According to different functions, it is designed into different pattern shapes, and is designed to be malleable fractal structure to realize ductility; a package film is formed on the device layer, and the device is packaged as a whole. Wrapped, protects electronic components from external factors, waterproof and dustproof; the undulation of the chest cavity is transmitted to the protective layer through the flexible substrate, causing deformation of the protective layer, thereby stretching or compressing the device layer, so that the resistance of the device layer occurs. The change causes the Wheatstone bridge that is composed of the strain sensor and the three fixed resistors to be unbalanced. The output current is output through the two outputs of the Wheatstone bridge as a respiratory signal, and the body temperature is removed by the effect of the Wheatstone bridge. The variable sensor measures the influence of chest undulation corresponding to the change of ambient temperature, and the frequency and amplitude of breathing are obtained by the output current. The biocompatible film provides breathability, water repellency and low sensitization to provide biocompatibility for the entire device, enabling the strain sensor to work on the human body for up to 24 hours. The package film also uses a biocompatible film to protect the functional device. The structure is complete and the circuit function and biocompatibility are not destroyed by external liquids.
心电传感器包括两个心电电极、蛇形引出导线和连接端;其中,两个心电电极之间具有距离;两个心电电极分别通过可延展的蛇形引出导线连接至连接端;连接端连接至模数转换电路的输入端;每一个心电电极采用网格状结构,组成网格的线条为弯曲的蛇形线,使得心电电极具有可延展性,贴附在人体表面时不会因皮肤变形而损坏;心脏的跳动引起电位变化,两个具有一定距离的心电电极之间产生电势差,作为心电信号,通过心电信号得到心电图,表明心脏的活动特征。The electrocardiographic sensor comprises two electrocardiographic electrodes, a serpentine lead wire and a connecting end; wherein the two electrocardiographic electrodes have a distance therebetween; the two electrocardiographic electrodes are respectively connected to the connecting end by a ductile serpentine lead wire; The end is connected to the input end of the analog-to-digital conversion circuit; each of the electrocardiographic electrodes adopts a grid structure, and the lines forming the grid are curved serpentine lines, so that the electrocardiographic electrodes are malleable, and are not attached to the surface of the human body. It will be damaged by skin deformation; the beating of the heart causes a potential change, and a potential difference is generated between two ECG electrodes having a certain distance. As an ECG signal, an electrocardiogram is obtained through the ECG signal, indicating the activity characteristics of the heart.
无线传输单元采用蓝牙通信,将所得信号无线传输给与之配对的移动终端进行记录和显示。The wireless transmission unit uses Bluetooth communication to wirelessly transmit the resulting signal to the paired mobile terminal for recording and display.
睡眠状态包括浅睡、深睡和清醒;通过互功率谱读出耦合功率,根据耦合功率所处的频带,判断得到睡眠状态;低频带的功率过大与睡眠呼吸障碍器件的周期性呼吸相关,而高频带过大的功率与生理性呼吸窦性心律失常和深度睡眠有关。如果耦合功率处于超低频带,则为清醒或深睡,超低频带为0.001~0.01Hz;如果耦合功率处于低频带,则为浅睡,低频带为0.01-0.1Hz。The sleep state includes shallow sleep, deep sleep and waking; the coupled power is read out through the mutual power spectrum, and the sleep state is judged according to the frequency band in which the coupled power is located; the excessive power of the low frequency band is related to the periodic breathing of the sleep disordered breathing device, Excessive power in the high frequency band is associated with physiological sinus arrhythmia and deep sleep. If the coupled power is in the ultra-low frequency band, it is awake or deep sleep, and the ultra-low frequency band is 0.001 to 0.01 Hz; if the coupling power is in the low frequency band, it is light sleep, and the low frequency band is 0.01-0.1 Hz.
本发明的另一个目的在于提供一种基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测方法。Another object of the present invention is to provide a cardiopulmonary coupled sleep quality detecting method based on an ultra-thin flexible strain and electrocardiographic sensor.
应变传感器贴附在前胸的表面,心电传感器的两个心电电极分别贴附在左胸下方的表面;应变传感器与三个阻值不变的电阻组成惠斯通电桥,惠斯通电桥的两个输出端电学连接至模数转换电路;心电传感器电学连接至模数转换电路;模数转换电路、放大电路、滤波电路和微处理器依次电学连接构成信号采集处理单元;信号采集处理单元和无线传输单元电学连接,并集成在一块电路板上;移动终端位于人体外。The strain sensor is attached to the surface of the chest, and the two ECG electrodes of the ECG sensor are respectively attached to the surface under the left chest; the strain sensor and the three resistance-changing resistors constitute the Wheatstone bridge, Wheatstone bridge The two output terminals are electrically connected to the analog-to-digital conversion circuit; the electrocardiographic sensor is electrically connected to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit, the amplification circuit, the filter circuit, and the microprocessor are sequentially electrically connected to form a signal acquisition and processing unit; signal acquisition processing The unit and the wireless transmission unit are electrically connected and integrated on one circuit board; the mobile terminal is located outside the human body.
本发明的基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测方法,包括以下步骤:The cardiopulmonary coupled sleep quality detecting method based on the ultra-thin flexible strain and electrocardiographic sensor of the invention comprises the following steps:
1)胸腔的起伏导致应变传感器的阻值发生改变,从而引起惠斯通电桥不平衡,从而产生 电流,作为呼吸信号输出至模数转换电路,并通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响;1) The fluctuation of the chest cavity causes the resistance of the strain sensor to change, causing the Wheatstone bridge to be unbalanced, resulting in The current is output as a respiratory signal to the analog-to-digital conversion circuit, and the effect of the temperature fluctuation of the body temperature and the ambient temperature is measured by the temperature compensation of the Wheatstone bridge to measure the influence of the undulation of the chest sensor;
2)心脏的跳动引起心电传感器的两个电极之间产生电势差,作为心电信号传输至模数转换电路;2) The beating of the heart causes a potential difference between the two electrodes of the electrocardiographic sensor to be transmitted as an electrocardiographic signal to the analog to digital conversion circuit;
3)模数转换电路将模拟的呼吸信号和心电信号分别转换为数字信号;放大电路对信号进行放大;3) an analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into a digital signal; the amplification circuit amplifies the signal;
4)呼吸信号直接经过滤波电路由微处理器记录;4) The breathing signal is directly recorded by the microprocessor through the filter circuit;
5)心电信号经过滤波电路,进行过滤去除噪声信号和高频信号;微处理器将心电信号合成为心电图信号,并记录心电图信号;呼吸信号和心电图信号通过无线传输单元传输至移动终端;5) the electrocardiogram signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit;
6)微处理器应用心肺耦合算法计算心电图信号与呼吸信号的互功率谱与相干度,从互功率谱上读出耦合功率,判断睡眠的状态,从而判断得到睡眠状态,并将结果通过无线传输单元传输至移动终端,进行记录并显示。6) The microprocessor applies the cardiopulmonary coupling algorithm to calculate the cross-power spectrum and coherence of the ECG signal and the respiratory signal, reads the coupled power from the cross-power spectrum, determines the state of sleep, and judges the sleep state, and transmits the result wirelessly. The unit transmits to the mobile terminal for recording and display.
其中,在步骤6)中,心肺耦合算法计算心肺耦合指数,包括以下步骤:首先对心电图进行QRS波群的识别,探测到R峰发生的时刻和幅值,对R-R间期信号进行处理,得到正常心跳的间期(N-N interval),对其与通过柔性应变传感器测量得到的呼吸信号进行差值重采样,调整采样频率后计算N-N间期以及呼吸信号的互功率谱以及相干度,从而得到心肺耦合(CPC)功率图谱。Wherein, in step 6), the cardiopulmonary coupling algorithm calculates the cardiopulmonary coupling index, comprising the steps of: first identifying the QRS complex of the electrocardiogram, detecting the time and magnitude of the occurrence of the R peak, and processing the RR interval signal to obtain The normal heartbeat interval (NN interval), the re-sampling of the respiratory signal measured by the flexible strain sensor, adjusting the sampling frequency, calculating the NN interval and the mutual power spectrum and the coherence of the respiratory signal, thereby obtaining the cardiopulmonary Coupling (CPC) power spectrum.
在步骤6)中,通过心肺耦合指数,判断得到睡眠状态;睡眠状态包括浅睡、深睡和清醒;通过互功率谱读出耦合功率,根据耦合功率所处的频带,判断得到睡眠状态;如果耦合功率处于超低频带,则为清醒或深睡,超低频带为0.001~0.01Hz;如果耦合功率处于低频带,则为浅睡,低频带为0.01~0.1Hz。In step 6), the sleep state is determined by the cardiopulmonary coupling index; the sleep state includes shallow sleep, deep sleep, and awake; the coupled power is read by the cross power spectrum, and the sleep state is determined according to the frequency band in which the coupled power is located; When the coupling power is in the ultra-low frequency band, it is awake or deep sleep, and the ultra-low frequency band is 0.001 to 0.01 Hz; if the coupling power is in the low frequency band, it is light sleep, and the low frequency band is 0.01 to 0.1 Hz.
本发明的优点:Advantages of the invention:
本发明采用超薄柔性的传感器,可以轻易地贴附在睡眠者的体表,不会使其产生任何的不适或者约束感,测量时基本感受不到传感器的存在,最大限度降低对睡眠者的影响,真实地反映睡眠者睡眠过程中的状态;通过使用超薄柔性传感器对呼吸和心电信号进行测量,然后使用心肺耦合算法对呼吸和心电信号综合分析,得到患者睡眠质量的量化指标参数和呼吸暂停综合征的呼吸暂停特征时刻,信号通过无线的方式传输给移动终端,整体系统的体积很小,可以方便地在不同的睡眠场合使用;本发明简单易行,准确率高,使用方便,体感舒适。The invention adopts an ultra-thin and flexible sensor, can be easily attached to the body surface of the sleeper, does not cause any discomfort or restraint feeling, and basically does not feel the presence of the sensor during the measurement, and minimizes the sleeper's The effect truly reflects the state of the sleeper's sleep; the respiratory and electrocardiographic signals are measured by using an ultra-thin flexible sensor, and then the cardiopulmonary coupling algorithm is used to comprehensively analyze the respiratory and electrocardiographic signals to obtain the quantitative index parameters of the patient's sleep quality. And the apnea characteristic of the apnea syndrome, the signal is transmitted to the mobile terminal wirelessly, the overall system is small in size, and can be conveniently used in different sleeping occasions; the invention is simple and easy, the accuracy is high, and the use is convenient Comfortable.
附图说明 DRAWINGS
图1为本发明的基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统的结构框图;1 is a structural block diagram of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention;
图2为本发明的基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统的应变传感器的爆炸图;2 is an exploded view of a strain sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention;
图3为本发明的基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统的心电传感器的示意图;3 is a schematic diagram of an electrocardiographic sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and an electrocardiographic sensor according to the present invention;
图4为本发明的基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统的应变传感器的器件层的俯视图;4 is a top plan view of a device layer of a strain sensor of an cardiopulmonary coupled sleep quality detecting system based on an ultra-thin flexible strain and electrocardiographic sensor of the present invention;
图5为本发明的基于超薄柔性应变和心电传感器的心肺耦合睡眠质量检测系统应用于睡眠检测的一个实施例的示意图。5 is a schematic diagram of one embodiment of a cardiopulmonary coupled sleep quality detection system based on an ultra-thin flexible strain and electrocardiographic sensor applied to sleep detection according to the present invention.
具体实施方式detailed description
下面结合附图,通过具体实施例,进一步阐述本发明。The invention will be further illustrated by the following examples in conjunction with the accompanying drawings.
如图1所示,本实施例的基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测系统包括:应变传感器、心电传感器、模数转换电路、放大电路、滤波电路、微处理器、无线传输单元和移动终端;其中,应变传感器和心电传感器均为超薄柔性的传感器,应变传感器与三个阻值不变的电阻组成惠斯通电桥,惠斯通电桥的两个输出端电学连接至模数转换电路;心电传感器电学连接至模数转换电路;模数转换电路、放大电路、滤波电路和微处理器依次电学连接构成信号采集处理单元。As shown in FIG. 1 , the cardiopulmonary coupled sleep quality detecting system based on the ultra-thin flexible strain and electrocardiographic sensor of the embodiment includes: a strain sensor, an electrocardiographic sensor, an analog-to-digital conversion circuit, an amplifying circuit, a filtering circuit, and a microprocessor. a wireless transmission unit and a mobile terminal; wherein the strain sensor and the electrocardiographic sensor are ultra-thin flexible sensors, the strain sensor and three resistance-changing resistors form a Wheatstone bridge, and the two outputs of the Wheatstone bridge The electrical connection is electrically connected to the analog-to-digital conversion circuit; the electrocardiographic sensor is electrically connected to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit, the amplification circuit, the filter circuit and the microprocessor are electrically connected in sequence to form a signal acquisition and processing unit.
如图2所示,应变传感器1包括粘接层、柔性基底11、聚合物保护层12、器件层13和封装薄膜14;其中,在粘接层上形成柔性基底11;在柔性基底11上形成刚性的聚合物保护层12;在聚合物保护层12上形成器件层13,器件层为具有图案的金属薄膜;在器件层13上形成封装薄膜14。As shown in FIG. 2, the strain sensor 1 includes an adhesive layer, a flexible substrate 11, a polymer protective layer 12, a device layer 13, and a package film 14; wherein a flexible substrate 11 is formed on the adhesive layer; and formed on the flexible substrate 11. A rigid polymer protective layer 12; a device layer 13 formed on the polymer protective layer 12, the device layer being a patterned metal film; and a package film 14 formed on the device layer 13.
如图3所示,心电传感器2包括两个心电电极21、蛇形引出导线22和连接端23;其中,两个心电电极21之间具有距离;两个心电电极分别通过可延展的蛇形引出导线22连接至连接端23;连接端连接至模数转换电路的输入端;每一个心电电极采用网格状结构,组成网格的线条为弯曲的蛇形线。As shown in FIG. 3, the electrocardiographic sensor 2 includes two electrocardiographic electrodes 21, a serpentine lead wire 22, and a connecting end 23; wherein, the two electrocardiographic electrodes 21 have a distance therebetween; and the two electrocardiographic electrodes respectively extend through the extensible The serpentine lead wire 22 is connected to the connection end 23; the connection end is connected to the input end of the analog to digital conversion circuit; each electrocardiographic electrode adopts a grid structure, and the lines constituting the grid are curved serpentine lines.
如图4所示,器件层13为具有图案的金属薄膜。As shown in FIG. 4, the device layer 13 is a patterned metal film.
如图5所示,对患者睡眠质量检测时,应变传感器1贴附在前胸的表面,心电传感器2的两个心电电极分别贴附在左胸左乳下方5cm处的表面;信号采集处理单元和无线传输单元 电学连接,并集成在一块电路板3上;移动终端4位于人体外。无线传输单元采用蓝牙传输。As shown in FIG. 5, when detecting the sleep quality of the patient, the strain sensor 1 is attached to the surface of the front chest, and the two electrocardiographic electrodes of the electrocardiographic sensor 2 are respectively attached to the surface 5 cm below the left breast left breast; signal acquisition Processing unit and wireless transmission unit Electrically connected and integrated on a circuit board 3; the mobile terminal 4 is located outside the human body. The wireless transmission unit uses Bluetooth transmission.
本实施例的基于超薄柔性的应变和心电传感器的心肺耦合睡眠质量检测方法,包括以下步骤:The cardiopulmonary coupled sleep quality detecting method based on the ultra-thin flexible strain and electrocardiographic sensor of the embodiment includes the following steps:
1)胸腔的起伏导致应变传感器的阻值发生改变,从而引起惠斯通电桥不平衡,从而产生电流,作为呼吸信号输出至模数转换电路,并通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响;1) The fluctuation of the chest cavity causes the resistance of the strain sensor to change, causing the Wheatstone bridge to be unbalanced, thereby generating a current, outputting it as a respiratory signal to the analog-to-digital conversion circuit, and excluding the body temperature by the temperature compensation of the Wheatstone bridge. Corresponding to the temperature change of the surrounding environment, the variable sensor measures the influence of chest undulation;
2)心脏的跳动引起心电传感器的两个电极之间产生电势差,作为心电信号传输至模数转换电路;2) The beating of the heart causes a potential difference between the two electrodes of the electrocardiographic sensor to be transmitted as an electrocardiographic signal to the analog to digital conversion circuit;
3)模数转换电路将模拟的呼吸信号和心电信号分别转换为数字信号;放大电路对信号进行放大;3) an analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into a digital signal; the amplification circuit amplifies the signal;
4)呼吸信号直接经过滤波电路由微处理器记录;4) The breathing signal is directly recorded by the microprocessor through the filter circuit;
5)心电信号经过滤波电路,进行过滤去除噪声信号和高频信号;微处理器将心电信号合成为心电图信号,并记录心电图信号;呼吸信号和心电图信号通过无线传输单元传输至移动终端;5) the electrocardiogram signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit;
6)微处理器应用心肺耦合算法计算心电图信号与呼吸信号的互功率谱与相干度,判断得到睡眠状态,并将结果通过无线传输单元传输至移动终端,进行记录并显示。6) The microprocessor applies the cardiopulmonary coupling algorithm to calculate the mutual power spectrum and coherence of the ECG signal and the respiratory signal, determines the sleep state, and transmits the result to the mobile terminal through the wireless transmission unit for recording and display.
最后需要注意的是,公布实施例的目的在于帮助进一步理解本发明,但是本领域的技术人员可以理解:在不脱离本发明及所附的权利要求的精神和范围内,各种替换和修改都是可能的。因此,本发明不应局限于实施例所公开的内容,本发明要求保护的范围以权利要求书界定的范围为准。 It is to be understood that the present invention is intended to be a further understanding of the invention, and it is understood by those skilled in the art that various modifications and changes can be made without departing from the spirit and scope of the invention and the appended claims It is possible. Therefore, the invention should not be limited by the scope of the invention, and the scope of the invention is defined by the scope of the claims.

Claims (9)

  1. 一种心肺耦合睡眠质量检测系统,其特征在于,所述检测系统包括:应变传感器、心电传感器、模数转换电路、放大电路、滤波电路、微处理器、无线传输单元和移动终端;其中,应变传感器和心电传感器均为超薄柔性的传感器,应变传感器贴附在前胸的表面,心电传感器的两个心电电极分别贴附在左胸下方的表面;应变传感器与三个阻值不变的电阻组成惠斯通电桥,惠斯通电桥的两个输出端电学连接至模数转换电路;心电传感器电学连接至模数转换电路;模数转换电路、放大电路、滤波电路和微处理器依次电学连接构成信号采集处理单元;信号采集处理单元和无线传输单元电学连接,并集成在一块电路板上;移动终端位于人体外;胸腔的起伏导致应变传感器的阻值发生改变,引起惠斯通电桥不平衡,从而产生电流,作为呼吸信号输出至模数转换电路,并通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响;心脏的跳动引起心电传感器的两个电极之间产生电势差,作为心电信号传输至模数转换电路;模数转换电路将模拟的呼吸信号和心电信号分别转换为数字信号;放大电路对信号进行放大;呼吸信号直接经过滤波电路由微处理器记录;心电信号经过滤波电路,进行过滤去除噪声信号和高频信号;微处理器将心电信号合成为心电图信号,并记录心电图信号;呼吸信号和心电图信号通过无线传输单元传输至移动终端;微处理器应用心肺耦合算法计算心电图信号与呼吸信号的互功率谱与相干度,判断得到睡眠状态,并将结果通过无线传输单元以无线的方式传输至移动终端,进行记录并显示。A cardiopulmonary coupled sleep quality detecting system, characterized in that the detecting system comprises: a strain sensor, an electrocardiographic sensor, an analog to digital conversion circuit, an amplifying circuit, a filtering circuit, a microprocessor, a wireless transmission unit and a mobile terminal; wherein Both the strain sensor and the ECG sensor are ultra-thin flexible sensors. The strain sensor is attached to the surface of the chest. The two ECG electrodes of the ECG sensor are attached to the surface below the left chest. The strain sensor and three resistance values. The constant resistance constitutes a Wheatstone bridge, and the two outputs of the Wheatstone bridge are electrically connected to the analog-to-digital conversion circuit; the electrocardiographic sensor is electrically connected to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit, the amplification circuit, the filter circuit, and the micro The processor is electrically connected to form a signal acquisition and processing unit; the signal acquisition processing unit and the wireless transmission unit are electrically connected and integrated on one circuit board; the mobile terminal is located outside the human body; the fluctuation of the chest cavity causes the resistance value of the strain sensor to change, causing benefits The power-on bridge is unbalanced, generating current as a respiratory signal output to analog-to-digital conversion The road, and through the effect of temperature compensation of the Wheatstone bridge, excludes the influence of body temperature and ambient temperature change on the measurement of chest undulation caused by the variable sensor; the beating of the heart causes a potential difference between the two electrodes of the ECG sensor, as the ECG The signal is transmitted to the analog-to-digital conversion circuit; the analog-to-digital conversion circuit converts the simulated breathing signal and the electrocardiographic signal into digital signals respectively; the amplifying circuit amplifies the signal; the breathing signal is directly recorded by the microprocessor through the filtering circuit; the electrocardiographic signal passes through The filter circuit performs filtering to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit; the microprocessor applies cardiopulmonary coupling The algorithm calculates the mutual power spectrum and the coherence of the electrocardiogram signal and the respiratory signal, determines the sleep state, and transmits the result to the mobile terminal wirelessly through the wireless transmission unit for recording and display.
  2. 如权利要求1所述的检测系统,其特征在于,所述应变传感器包括粘接层、柔性基底、聚合物保护层、器件层和封装薄膜;其中,柔性基底和封装薄膜采用生物兼容薄膜;粘接层直接接触并粘接在皮肤上,采用高粘度的生物胶;在粘接层上形成柔性基底;在柔性基底上形成刚性的聚合物保护层;在聚合物保护层上形成器件层,器件层为具有图案的金属薄膜,具有可延展性;在器件层上形成封装薄膜,将器件整体包裹起;胸腔的起伏通过柔性基底传递至保护层,引起保护层的变形,从而对器件层形成拉伸或压缩,使得器件层的电阻发生改变,引起应变传感器与三个定值的电阻组成的惠斯通电桥不平衡,通过惠斯通电桥的两个输出端输出电流,作为呼吸信号,通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响,通过输出的电流得到呼吸的频率和幅度。The detecting system according to claim 1, wherein the strain sensor comprises an adhesive layer, a flexible substrate, a polymer protective layer, a device layer, and a package film; wherein the flexible substrate and the packaging film are made of a biocompatible film; The contact layer is directly contacted and bonded to the skin, using a high-viscosity bioglue; forming a flexible substrate on the adhesive layer; forming a rigid polymer protective layer on the flexible substrate; forming a device layer on the polymer protective layer, the device The layer is a patterned metal film, which is malleable; a package film is formed on the device layer to wrap the device as a whole; the undulation of the chest cavity is transmitted to the protective layer through the flexible substrate, causing deformation of the protective layer, thereby forming a pull on the device layer Stretching or compressing, causing a change in the resistance of the device layer, causing the strain sensor to be unbalanced with the Wheatstone bridge composed of three fixed resistors, outputting current through the two outputs of the Wheatstone bridge as a respiratory signal, The effect of the temperature compensation of the Stone Bridge eliminates the changes in body temperature and ambient temperature, and the variable sensor measures the chest undulation. The effect of the output current is the frequency and amplitude of the breath.
  3. 如权利要求2所述的检测系统,其特征在于,根据不同的功能设计成不同的图案形状,通 过设计成为可延展的分形结构来实现可延展性。The detecting system according to claim 2, wherein the different patterns are designed according to different functions. Designed to be a malleable fractal structure to achieve extensibility.
  4. 如权利要求1所述的检测系统,其特征在于,所述心电传感器包括两个心电电极、蛇形引出导线和连接端;其中,两个心电电极之间具有距离;两个心电电极分别通过可延展的蛇形引出导线连接至连接端;连接端连接至模数转换电路的输入端;每一个心电电极具有可延展性;心脏的跳动引起电位变化,两个具有距离的心电电极之间产生电势差,作为心电信号,通过心电信号得到心电图,表明心脏的活动特征。The detecting system according to claim 1, wherein said electrocardiographic sensor comprises two electrocardiographic electrodes, a serpentine lead wire and a connecting end; wherein the two electrocardiographic electrodes have a distance therebetween; and two electrocardiograms The electrodes are respectively connected to the connection end by a ductile serpentine lead wire; the connection end is connected to the input end of the analog to digital conversion circuit; each electrocardiographic electrode is malleable; the beating of the heart causes a potential change, and two hearts having a distance A potential difference is generated between the electrodes, and as an electrocardiographic signal, an electrocardiogram is obtained through the electrocardiographic signal, indicating the activity characteristics of the heart.
  5. 如权利要求4所述的检测系统,其特征在于,每一个心电电极采用网格状结构,组成网格的线条为弯曲的蛇形线,使得心电电极具有可延展性。The detection system according to claim 4, wherein each of the electrocardiographic electrodes has a grid-like structure, and the lines constituting the grid are curved serpentine lines, so that the electrocardiographic electrodes are malleable.
  6. 如权利要求1所述的检测系统,其特征在于,所述无线传输单元采用蓝牙通信。The detection system of claim 1 wherein said wireless transmission unit employs Bluetooth communication.
  7. 一种心肺耦合睡眠质量检测方法,其特征在于,所述检测方法包括以下步骤:A cardiopulmonary coupled sleep quality detecting method, characterized in that the detecting method comprises the following steps:
    7)胸腔的起伏导致应变传感器的阻值发生改变,从而引起惠斯通电桥不平衡,从而产生电流,作为呼吸信号输出至模数转换电路,并通过惠斯通电桥的温度补偿的作用排除体温和周围环境温度变化对应变传感器测量胸腔起伏带来的影响;7) The fluctuation of the chest cavity causes the resistance of the strain sensor to change, causing the Wheatstone bridge to be unbalanced, thereby generating a current, outputting it as a respiratory signal to the analog-to-digital conversion circuit, and excluding the body temperature by the temperature compensation of the Wheatstone bridge. Corresponding to the temperature change of the surrounding environment, the variable sensor measures the influence of chest undulation;
    8)心脏的跳动引起心电传感器的两个电极之间产生电势差,作为心电信号传输至模数转换电路;8) The beating of the heart causes a potential difference between the two electrodes of the electrocardiographic sensor to be transmitted as an electrocardiographic signal to the analog to digital conversion circuit;
    9)模数转换电路将模拟的呼吸信号和心电信号分别转换为数字信号;放大电路对信号进行放大;9) an analog-to-digital conversion circuit converts the simulated respiratory signal and the electrocardiographic signal into a digital signal; the amplification circuit amplifies the signal;
    10)呼吸信号直接经过滤波电路由微处理器记录;10) The breathing signal is directly recorded by the microprocessor through the filter circuit;
    11)心电信号经过滤波电路,进行过滤去除噪声信号和高频信号;微处理器将心电信号合成为心电图信号,并记录心电图信号;呼吸信号和心电图信号通过无线传输单元传输至移动终端;11) the electrocardiogram signal is filtered to remove the noise signal and the high frequency signal; the microprocessor synthesizes the electrocardiogram signal into an electrocardiogram signal, and records the electrocardiogram signal; the respiratory signal and the electrocardiogram signal are transmitted to the mobile terminal through the wireless transmission unit;
    12)微处理器应用心肺耦合算法计算心电图信号与呼吸信号的互功率谱与相干度,从互功率谱上读出耦合功率,判断睡眠的状态,从而判断得到睡眠状态,并将结果通过无线传输单元传输至移动终端,进行记录并显示。12) The microprocessor applies the cardiopulmonary coupling algorithm to calculate the cross-power spectrum and coherence of the ECG signal and the respiratory signal, reads the coupled power from the cross-power spectrum, determines the state of sleep, and judges the sleep state, and transmits the result wirelessly. The unit transmits to the mobile terminal for recording and display.
  8. 如权利要求7所述的检测方法,其特征在于,在步骤1)中,胸腔的起伏引起惠斯通电桥不平衡,包括以下步骤:胸腔的起伏通过柔性基底传递至保护层,引起保护层的变形,从而对器件层形成拉伸或压缩,使得器件层的电阻发生改变,引起应变传感器与三个定值的电阻组成的惠斯通电桥不平衡,通过惠斯通电桥的两个输出端输出电流,作为呼吸信号响。The detecting method according to claim 7, wherein in step 1), the undulation of the chest cavity causes the Wheatstone bridge to be unbalanced, comprising the steps of: undulating the chest cavity through the flexible substrate to the protective layer, causing the protective layer Deformation, thereby stretching or compressing the device layer, causing a change in the resistance of the device layer, causing the strain sensor to be unbalanced with the Wheatstone bridge composed of three fixed resistors, outputting through the two outputs of the Wheatstone bridge The current is ringing as a breathing signal.
  9. 如权利要求7所述的检测方法,其特征在于,在步骤6)中,通过心肺耦合指数,判断得到睡眠状态;睡眠状态包括浅睡、深睡和清醒;通过互功率谱读出耦合功率,根据耦合功 率所处的频带,判断得到睡眠状态;如果耦合功率处于超低频带,则为清醒或深睡,超低频带为0.001~0.01Hz;如果耦合功率处于低频带,则为浅睡,低频带为0.01~0.1Hz。 The detecting method according to claim 7, wherein in step 6), the sleep state is determined by the cardiopulmonary coupling index; the sleep state includes light sleep, deep sleep, and waking; and the coupled power is read by the cross power spectrum. According to the coupling work The frequency band in which the rate is located determines that the sleep state is obtained; if the coupled power is in the ultra-low frequency band, it is awake or deep sleep, and the ultra-low frequency band is 0.001 to 0.01 Hz; if the coupled power is in the low frequency band, it is light sleep, and the low frequency band is 0.01 to 0.1 Hz.
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