The present invention relates to a biological state estimation device which estimates a biological state from a biosignal, a biological state estimation method therefor, and a computer program therefor, and a recording medium.
In Patent Documents 1 to 5 and so on, the present inventors have proposed arts to detect vibration generated on the body surface of the back in the upper body of a person by a biosignal measurement device and analyze a state of the person. Sound and vibration information arising from cardiac and aortic motions, which is detected from the back of the upper body of a person, is pressure vibration arising from the cardiac and aortic motions, and includes ventricular systolic and diastolic information, information on vascular wall elasticity which serves as an auxiliary pump for the circulation, and information on reflected waves. That is, the sound and vibration information includes information on vibration including a back body surface pulse wave (Aortic Pulse Wave (APW)) of around 1 Hz generated on the back surface due to the cardiac and aortic motions and information on sound conveyed to the back side in accordance with heartbeat (“pseudo heart sound” (in this specification, sound of the heart collected from the back side is referred to as “pseudo heart sound”, in contrast to heart sound which is sound of the heart collected from the chest side)). A signal waveform accompanying heart rate variability includes information on neural activities of the sympathetic nervous system and the parasympathetic nervous system, and a signal waveform accompanying aortic oscillation includes information on sympathetic nerve activity.
In Patent Document 1, slide calculation is performed in which a predetermined time width is set in a time-series waveform of back body surface pulse waves (APW) of around 1 Hz extracted from collected biosignals (sound and vibration information), to find a frequency gradient time-series waveform, and according to the tendency of its variation, for example, according to whether its amplitude is on the increase or the decrease, a biological state is estimated. It is also disclosed that, by frequency analysis of the biosignals, power spectra of respective frequencies corresponding to a function regulation signal, a fatigue reception signal, and an activity regulation signal belonging to predetermined frequency bands from a ULF band (ultra low-frequency band) to a VLF band (very low-frequency band) are found, and a state of a person is determined from time-series variations of the respective power spectra. Since the fatigue reception signal indicates a progress degree of fatigue in a normal active state, additionally comparing predominant degrees of the power spectra of the function regulation signal and the activity regulation signal makes it possible to determine the state of a person (a sympathetic nerve predominant state, a parasympathetic nerve predominant state, or the like). It is further disclosed that, with the total value of the power spectra of frequency components corresponding to these three signals being set as 100, time-series distribution ratios of the respective frequency components are found and the state of a person is determined using time-series variations of the distribution ratios.
As a method of quantifying a biological state, Patent Document 2 proposes an art to represent a biological state as a physical condition map and a sensation map. To create them, the aforesaid back body surface pulse wave (APW) is frequency-analyzed, an analyzed waveform in each target analysis section is displayed on log-log axes, the analyzed waveform is, classified into a low-frequency band, an intermediate-frequency band, or a high-frequency band, and according to a gradient of the classified analyzed waveform and the shape of the whole analyzed waveform, the analyzed waveform is scored based on a predetermined criterion, and the results are plotted on coordinate axes. The physical condition map shows a control state of the autonomic nervous system from a viewpoint of the balance between the sympathetic nerves and the parasympathetic nerves, and in the sensation map, a change state of heart rate variability is superimposed on the physical condition map.
Patent Documents 3 to 5 disclose a means for determining a homeostasis function level. For the determination, the means for determining the homeostasis function level uses at least one or more of plus/minus of a differential waveform of a frequency gradient time-series waveform, plus/minus, of an integrated waveform obtained by integrating the frequency gradient time-series waveform, absolute values of frequency gradient time-series waveforms obtained by absolute value processing of a frequency gradient time-series waveform found by a zero-cross method and a frequency gradient time-series waveform found by a peak detection method, and so on. By using the combination of these, it is found on which level the homeostasis function is.
Patent Document 1: Japanese Patent Application Laid-open No. 2011-167362
Patent Document 2: Japanese Patent Application Laid-open No. 2012-239480
Patent Document 3: WO2011/046178
Patent Document 4: Japanese Patent Application Laid-open No. 2014-117425
Patent Document 5: Japanese Patent Application Laid-open No, 2014-223271
All of the above-described arts determine the state of a person by analyzing elements that vary due to fluctuations of the bioregulation functions, and are capable of detecting various biological states such as a hypnagogic symptom phenomenon, an imminent sleep phenomenon, a low consciousness traveling state, a homeostasis function level, an initial fatigue state, and feeling determination. However, these arts do not estimate a biological state of a person by finding a pseudo heart sound waveform by processing biosignals which are collected from the mink and include biological sound and vibration, analyzing the pseudo heart sound waveform, and comparing predetermined waveform components in the pseudo heart sound waveform. Further, they attempt neither detecting a state of blood pressure fluctuation nor detecting a physiological phenomenon accompanied by blood pressure fluctuation, in particular, detecting a desire to void.
The present invention was made in consideration of the above, and has an object to provide a biological state estimation device capable of detecting a biological state by analyzing a pseudo heart sound wave of found through the processing of biosignals which are collected from the trunk and include biological sound and vibration, a biological state estimation, method therefor, a computer program therefor, and a recording medium, in particular, to provide a biological state estimation device capable of estimating a state of blood pressure fluctuation itself or a physiological phenomenon accompanied by blood pressure fluctuation, in particular, urinary urgency including the presence/absence of a desire to void, a biological state estimation method therefor, a computer program therefor, and a recording medium.
In order to solve the aforesaid problem, the biological state estimation device of the present invention is a biological state estimation device which estimates a biological state by using a biosignal, the biological state estimation device including a biological state estimation, means which estimates the biological state by using a pseudo heart sound waveform corresponding to a period of heart sound and comparing predetermined wavefrom components in the pseudo heart sound waveform, the pseudo heart sound waveform being obtained by processing back biological sound and vibration information which is collected as the biosignal from the back of a person and fluctuates according to a flow rate of blood pumped out from the heart.
Preferably, the biological state estimation means estimates the biological state by comparing amplitudes of two waveform components included in one cardiac cycle of the pseudo heart sound waveform.
Preferably, the biological state estimation means plots two amplitudes (i, i+1) of the waveform components in a time-series manner in a coordinate system, with one of the amplitudes taken on the axis of abscissas and the other taken on the axis of ordinates, and estimates the biological state from a variance state of a group of plotted points.
Preferably, the biological state estimation means estimates the biological state from a gradient of the group of the plotted points.
Preferably, the biological state estimation means estimates the biological state by comparing patterns of amplitude changes in cardiac cycles of the pseudo heart sound waveform.
Preferably, the biological state estimation means classifies the patterns of the amplitude changes in the cardiac cycles of the pseudo heart sound waveform into a positive waveform pattern and a negative waveform pattern with respect to a highest peak where an amplitude is the highest in each of the cardiac cycles, the positive waveform pattern being a pattern in which a lowest bottom where the amplitude is the lowest appears immediately after the highest peak, and the negative waveform pattern being a pattern in which a lowest bottom appears immediately before the highest peak, and estimates the biological state from an appearance ratio of the two waveform patterns in a predetermined time.
Preferably, the biological state estimation means includes a blood pressure fluctuation estimation means which estimates a state of blood pressure fluctuation as the biological state from the pseudo heart sound waveform.
Preferably, the biological state estimation means includes a physiological phenomenon estimation means which estimates a physiological phenomenon as the biological state from the pseudo heart sound waveform.
Preferably, the physiological phenomenon estimation means is a means which estimates a desire to void.
Further, a computer program of the present invention is a computer program causing a computer to execute a procedure for estimating a biological state by processing a biosignal, the computer program causing the computer to execute a biological state estimation procedure which estimates the biological state by using a pseudo heart sound waveform corresponding to a period of heart sound and comparing predetermined waveform components in the pseudo heart sound waveform, the pseudo heart sound waveform being obtained by processing back biological sound and vibration information which is collected as the biosignal from the back of a person and fluctuates according to a flow rate of blood pumped out from the heart.
Preferably, the biological state estimation procedure estimates the biological state by comparing amplitudes of two waveform components included in one cardiac cycle of the pseudo heart sound waveform.
Preferably, the biological state estimation procedure plots two amplitudes (i, i+1) of the waveform components in a time-series manner in a coordinate system, with one, of the amplitudes taken on the axis of abscissas and the other taken on the axis of ordinates, and estimates the biological state from a variance state of a group of plotted points.
Preferably, the biological state estimation procedure estimates the biological state from a gradient of the group of the plotted points.
Preferably, the biological state estimation procedure estimates the biological state by comparing patterns of amplitude changes in cardiac cycles of the pseudo heart sound waveform.
Preferably, the biological state estimation procedure classifies the patterns of the amplitude changes in the cardiac cycles of the pseudo heart sound waveform into a positive waveform pattern and a negative waveform pattern with respect to a highest peak where an amplitude is the highest in each of the cardiac cycles, the positive waveform pattern being a pattern in which a lowest bottom where the amplitude is the lowest appears immediately after the highest peak, and the negative waveform pattern being, a pattern in which the lowest bottom appears immediately before the highest peak, and estimates the biological state from an appearance ratio of the two waveform patterns in a predetermined time.
Preferably, the biological state estimation procedure executes a blood pressure fluctuation estimation procedure which estimates a state of blood pressure fluctuation as the biological state from the pseudo heart sound waveform.
Preferably, the biological stale estimation procedure executes a physiological phenomenon estimation procedure which estimates a physiological phenomenon as the biological state from the pseudo heart sound waveform.
Preferably, the physiological phenomenon estimation procedure executes a procedure which estimates a desire to void.
Further, the present invention provides a computer-readable recording medium in which the above-described computer program causing the computer as a biological state estimation device to execute the procedure for estimating the biological state by processing the biosignal is recorded.
Further, a biological state estimation method of the present invention is a biological state estimation method which estimates a biological state by using a biosignal, the method including estimating the biological state by using a pseudo heart sound waveform corresponding to a period of heart sound and comparing predetermined waveform components in the pseudo heart sound waveform, the pseudo heart sound waveform being obtained by processing back biological sound and vibration information which is collected as the biosignal from the back of a person and fluctuates according to a flow rate of blood pumped out from the heart.
Preferably, the biological state estimation method of the present invention estimates the biological state by comparing amplitudes of two waveform components included in one cardiac cycle of the pseudo heart sound waveform, and preferably, plots two amplitudes (i, i+1) of the waveform components in a time-series manner in a coordinate system, with one of the amplitudes taken on the axis of abscissas and the other taken on the axis of ordinates, and estimates the biological state from a variance state of a group of plotted points. Preferably, the biological state is estimated from a gradient of the group of the plotted points. Preferably, the biological state is estimated by comparing patterns of amplitude changes in cardiac cycles of the pseudo heart sound waveform. Preferably, the patterns of the amplitude changes in the cardiac cycles of the pseudo heart sound waveform are classified into a positive waveform pattern and a negative waveform pattern with respect to a highest peak where an amplitude is the highest in each of the cardiac cycles, the positive waveform pattern being a pattern in which a lowest bottom where the amplitude is the lowest appears immediately after the highest peak, and the negative waveform pattern being a pattern in which the lowest bottom appears immediately before the highest peak, and the biological state is estimated from an appearance ratio of the two waveform patterns in a predetermined time. Preferably, as the biological state, at least one state out of blood pressure fluctuation and a physiological phenomenon including a desire to void is estimated from the pseudo heart sound waveform.
The present invention uses a time-series waveform of the biosignals (back sound and vibration information) collected from the back of a person and including biological sound and vibration. The back sound and vibration information is pressure vibration arising from cardiac and aortic motions, includes ventricular systolic and diastolic information and information on vascular wall elasticity which serves as an auxiliary pump of the circulation, and is considered as a vibration system including both the damping of viscous damping friction and the damping of solid friction. The back sound and vibration information fluctuates according to a flow rate (stroke volume) of blood pumped out from the heart, and the fluctuation of the flow rate is reflected in the amplitude of the time-series waveform of the back sound and vibration information. That is, the back sound and vibration information reflecting the stroke volume of blood from the heart includes waveform components (pseudo first sound, pseudo second sound) whose period corresponds to a period of a waveform of heart sound collected from the chest side by a phonocardiograph, and by analyzing the waveform having these waveform components (pseudo heart sound waveform), it is possible to detect the biological state of a person. This is particularly suitable for detecting a biological state associated with the blood pressure fluctuation corresponding to the fluctuation of the stroke volume of blood from the heart.
Further, being suitable for estimating the state of the blood pressure fluctuation, this is particularly suitable for estimating a state of a physiological phenomenon accompanied by blood pressure fluctuation. For example, during urine storage, a blood pressure usually tends to rise, and by detecting the state of the blood pressure fluctuation, it is possible to estimate a desire to void.
The present invention be hereinafter described in more detail based on embodiments of the present invention illustrated in the drawings. A biosignal collected in the present invention is back sound and vibration information. As described above, the back sound and vibration information is sound and vibration information arising from cardiac and aortic motions, which is detected from the back of the upper body of a person, and includes ventricular systolic and diastolic information, information on vascular wall elasticity which serves as an auxiliary pump of blood circulation, information on elasticity by a blood pressure, and information on reflected waves. Therefore, by processing a time-series waveform of the back sound and vibration information, it is possible to create a pseudo heart sound waveform approximating to a heart sound waveform measured by a phonocardiograph, and by analyzing the pseudo heart sound waveform, it is possible to detect a volume stroke and a state of vascular resistance, that is, a state of blood pressure fluctuation.
As a biosignal measurement device for collecting the back sound and vibration information, it is preferable to use a biosignal measurement device 1 used in a doze driving warning device (Sleep Buster (registered trademark) manufactured by Delta Tooling Co., Ltd.).
The biosignal measurement device 1 will be briefly described. As illustrated in
Next, the configuration of a biological state estimation device 100 of this embodiment will be described based on
The computer program may be stored in a computer-readable recording medium. By using the recording, medium, it is possible to, for example, install the aforesaid program in the aforesaid computer. Here, the recording medium in which the aforesaid program is stored may be a non-transitory recording medium. The non-transitory recording medium is not limited, and examples thereof include recording mediums such as a flexible disk, a hard disk, CD-ROM, MO (magneto-optical disk), DVD-ROM, and a memory card. It is also possible to install the aforesaid program by transmitting it to the aforesaid computer via communication lines.
The back sound and vibration information processing means 210 is a means winch applies predetermined processing to the back sound and vibration information obtained from the sensor 14 of the biosignal measurement device 1 (hereinafter, this back sound and vibration information will be referred to as an “original waveform” but the original waveform mentioned here also includes a waveform obtained after a component not used in an analysis, such as body motion, is pre-processed by filtering or the like)), to process the back sound and vibration information into a pseudo heart sound waveform.
Specifically, the back sound and vibration information processing procedure which is a computer program functioning as the back sound and vibration information processing means 210 is executed by the steps shown in the flowchart in
The pseudo heart sound waveform calculation means 220 gives a distortion to the waveform RC1 (first pseudo heart sound waveform) obtained by the back sound and vibration information processing means 210, by applying clipping processing in order to extract periods of the pseudo first and second sounds corresponding to first and second heart sounds in a heart sound waveform, thereby finding a time-series waveform (waveform in
The low-frequency time-series waveform calculation means 230 is a means which, in order for the periods of the pseudo first and second sounds in the second pseudo heart sound waveform (waveform in
Specifically, as illustrated in the flowchart in
The blood pressure fluctuation estimation means 240 is a means which estimates the state of the blood pressure fluctuation by analyzing amplitude fluctuation of the above-described pseudo heart sound waveform (the RC1 waveform (waveform in
Further, as described above, the back sound and vibration information is pressure vibration arising from the cardiac and aortic motions and includes the ventricular systolic and diastolic information and the information on the vascular wall elasticity which serves as the auxiliary pump of the circulation. Accordingly, the back sound and vibration information can be considered as a vibration system including both the damping of viscous damping friction and the damping of solid friction, and a graphical solution which calculates a damping ratio of a free damped vibration waveform can be applied to this. Specifically, regarding a second derivative, it is, known that as the blood pressure becomes higher, its reflected wave increases and its late systolic re-descent wave component (d wave) increases, and thus there is a correlation between d/a (a wave: protosystole positive wave) of the second derivative and a systolic blood pressure (SBP), but the present invention uses, as an alternative index to d/a of the second derivative, a logarithmic amplification factor representing an amplification characteristic of the pseudo heart sound waveform. Then, a method which expresses the logarithmic amplification factor by using only an apparent damping ratio found from self-excited vibration of a single-degree-of-freedom system and calculates a damping ratio of the free damped vibration waveform is applied.
More specifically, the blood pressure fluctuation estimation means 240 plots two adjacent amplitudes (i, i+1) in a period from a starting point of a waveform component of the pseudo first sound up to an end point of a waveform component of the pseudo second sound, which period corresponds to one cardiac cycle, in any one of the aforesaid pseudo heart sound waveforms, in a time-series manner in a coordinate system with one of the amplitudes taken on the axis of abscissas and the other taken on the axis of ordinates, and estimates the state of the blood pressure fluctuation from a variance state of a group of plotted points (refer to
As described above, the blood pressure fluctuation estimation means 240 according to this embodiment uses, as predetermined waveform components of the pseudo heart sound waveform, the two adjacent amplitudes (i, i+1) in the period from the starting point of the waveform component of the pseudo first sound up to the end point of the waveform component of the pseudo second sound preferably uses two adjacent amplitudes in an amplification phase of the pseudo first sound as will be described later, to estimate the blood pressure fluctuation. That is, after the extraction of the pseudo heart sound waveform, arithmetic processing necessary for the estimation by the computer is only an analysis of the specific waveform components. Then, by using a gradient angle of an approximate line, it is possible to estimate a relation of thus found variance state of the group of the points indicating an amplitude ratio with respect to the blood pressure as will be described later, and therefore, as compared with a case where change patterns of time-series waveforms are compared, this method leads to a reduction in a load to, the computer and an improvement in arithmetic processing speed at the time of the determination, because, if correlation data of the blood pressure and the gradient angle of the approximate line is stored in a storage in advance, it is only necessary to compare the correlation data with the gradient angle of the approximate line of a determination target.
(Experiment Method)
Subjects were each seated, in an automobile seat for experiment on whose seat back part the biosignal measurement device 1 was attached as a biosignal measurement device, and back sound and vibration information was collected by the biosignal measurement device 1 while the subjects were in a resting state and a sitting posture. Data of the back sound and vibration information was analyzed by the biological state estimation device 100 which is a computer. At the same time, an electrocardiogram (hereinafter, referred to as “ECC”, a measuring instrument: Bedside Monitor BSM-2300 series Life Scope I manufactured Nihon Kohden Corporation), a phonocardiogram (hereinafter, referred to as “PCG”, a measuring instrument: Heart sound/pulse wave amplifiers AS101D and TA701T manufactured by Nihon Kohden Corporation), and a finger plethysmogram (hereinafter, referred to as “PPG”, a measuring instrument: Finger Clip Probe SR-5C manufactured by AMCO Inc.) were measured and compared. The measurement by the phonocardiograph was conducted from the front of the chest of each person. The subjects were six healthy male volunteers in their twenties (25.0±2.9 years old) who consented in writing after giving informed consent, and their physical characteristics, such as physique were as shown in
The measurement duration was fifteen minutes, and periodic and continuous measurement was conducted with a 1000 Hz sampling frequency by, an A/D converter (Power Lab 8/30 manufactured by Nihon Kohden Corporation). Data measured during a five-minute period after the start of the measurement were excluded from measurement targets, and data measured during a period when the subjects were presumed to have been accustomed to a measurement environment, that is, data during a ten-minute period after five minutes passed from the start of the measurement, were used as measurement targets. Further, analysis targets were data during a period in which it was considered that body motion or the like was small and stable data could be measured, that is, data during a 480-second period from sixty seconds up to 540 seconds after five minutes passed from the start of the measurement (that is, a period from six minutes up to fourteen minutes after the start of the measurement). A threshold of the clipping processing executed at Step S12 in
Further, after the measurement was conducted for fifteen minutes, a systolic blood pressure (SBP) and a diastolic blood pressure (DBP) of the upper arm were measured using an upper arm blood pressure monitor for home use (OMRON REM-7051).
(Experimental Results)
In
(Discussion)
Table 1 shows correlations in cardiac cycle between RRI and PPWg-D obtained from the pseudo heart sound waveforms, of the six subjects A to F. Coefficients of correlation of all the subjects showed a significant correlation, with p<0.05.
Table 2 shows correlations between RRI and PPWg-D obtained from the pseudo heart sound waveforms, which are calculated using mean values of five seconds. Coefficients of correlation of all the subjects showed a significant correlation, with p<0.05,
The cardiac cycle calculated using the mean values of five seconds exhibited the coefficient of correlation and gradient of 0.9 or more in all the subjects. From the above results, it can be said that using the time-series waveforms found from the mean values of five seconds makes it possible to obtain the correlation more significant for biological analysis when heart rate variability is to be detected.
Table 3 shows correlations between PCG-PPWg-D and RRI.
Table 4 shows correlations between five-second mean values of PCG-PPWg-D and RRI.
In
Table 5 shows, correlations between PPG-2nd and RRI.
In all the subjects, the coefficient of correlation was 0.9 or more and p<0.05, and thus a high correlation was exhibited.
Table 6 shows correlations between five-second mean values of PPG-2nd and RRI.
In all the subjects, the coefficient of correlation was 0.9 or more and p<0.05, and thus a high correlation was exhibited. However, in PPG-2nd, the coefficient of correlation was 0.994 (Table 5 and
In
Here, the blood pressure fluctuation estimation means 240 focused on places corresponding to the pseudo first sound when evaluating the variance state of the group of the plotted points. It is known that the first heart sound measured by a phonocardiograph, which corresponds to the pseudo first sound, highly correlates with the blood pressure, and in particular, the amplification phase corresponds to self-excited vibration, and therefore, it is thought that a variance state of a group of plotted points in the amplification phase presents the correlation with the blood pressure. Therefore, the variance state of the group of the plotted points of amplification (2) having the highest peak (in the waveform components in one cardiac cycle, a place where the amplitude had the maximum value on the positive side of the reference line) and exhibiting a noticeable amplifying tendency is focused on, and the biological state, is estimated. As the variance state of the group of the plotted points, the blood pressure fluctuation estimation means 210 draws an, approximate line by the least square method in the group of the plotted points of amplification (2), calculates it gradient angle with respect to the X-axis, to and the correlation with the blood pressure is estimated.
Therefore, the use of the method of this embodiment makes it possible to detect the blood pressure fluctuation with accuracy equivalent to that when the phonocardiograph is used, only by measuring the back sound and vibration information, that is, only by seating the subject in a seat where the biosignal measurement device 1 is attached.
The physiological phenomenon estimation means 250 of this embodiment estimates a physiological phenomenon highly correlating with blood pressure fluctuation. Specifically, it estimates a desire to void typically accompanied by a blood pressure rise phenomenon as urinary storage progresses.
First, the back sound, and vibration information processing means 210 applies a band pass filter whose center frequency is near 20 Hz, for example, a band pass filter of 10 to 30 Hz to the measured back sound and vibration information (RC0), to obtain the waveform RC1 which is the first pseudo heart sound waveform (refer to Steps S10 and S11 in
An analysis target of the physiological phenomenon estimation means 250 of this embodiment is the waveform RC1 which is the first pseudo heart sound waveform. An analyzing method, which is the same as that of the aforesaid blood pressure fluctuation estimation means 240, is to plot amplitudes (i, i+1) of two adjacent waveform components out of waveform components corresponding to one cardiac cycle of the waveform RC1 which is the first pseudo heart sound waveform, in a time-series manner in a coordinate system with one of the amplitudes taken on the axis of abscissas and the other taken on the axis of ordinates, and estimate a desire to void from a variance state of a group of plotted points (refer to
A desire to void correlates with blood pressure fluctuation, and can also be estimated from the second pseudo heart sound waveform in which the pseudo heart sound is made clearer, used in the above-described embodiment, but for quick processing, the analysis target in this embodiment is the waveform RC1 which is the first pseudo heart sound waveform. Further, as illustrated in
The physiological phenomenon estimation means 250 uses amplitudes (A1(i), A2(i+1)) of two waveform components in an amplification phase illustrated in
Healthy subjects in their twenties to thirties (eight males (since the experiment was conducted twice for three subjects among them, the number of obtained experimental data is eleven)) were requested to take water, and a relation between a sensation level of a desire to void and the aforesaid group of the plotted points of the amplitude ratio found by the physiological phenomenon estimation means 250 was studied. The sensation level of the desire to void was classified into “normal time” which is a state where the subject felt no desire to void after taking water, “post-perception time” which is an instant at which a desire to void was thereafter felt (that is, an instant at which the subject became conscious of a first desire to void (FDV)), and “pre-perception time” which is an instant immediately before the subject was conscious of the first desire to void. Further an instant at which the subject was conscious of the maximum desire to void (MDV) which is the limit of suppressing the desire to void was classified as “limit time”, and an instant at which the subject was conscious of a strong desire to void (SDV) between the “post-perception time” and the “limit time” was classified as “suppression time”.
In the experiment, the subjects were each seated in an automobile seat for experiment in which the biosignal measurement device 1 used in trade name “Sleep Buster” manufactured by Delta Tooling Co., Ltd. was attached to its seat back part, and back sound and vibration information was collected while the subjects were in a resting state and a sitting posture. Data of the back sound and vibration information was analyzed by the biological state estimation device 100 which is a computer. At the same time, an electrocardiogram (hereinafter, “ECC”, a measuring instrument: Bedside Monitor BSM-2300 series Life Scope I manufactured by Nihon Kohden Corporation) was measured, and a systolic blood pressure (highest blood pressure) and a diastolic blood pressure (lowest blood pressure) of the upper arm were measured even fifteen minutes, using an upper aim blood pressure monitor for home use (OMRON HEM-7051).
After urination, the subjects were each seated in the aforesaid automobile seat for experiment and the experiment was started, and after 45 minutes passed from the start of the experiment, they took 500 ml water in fifteen minutes, were kept in the resting state until declaring the maximum desire to void (limit time), and urinated after declaring the maximum desire to void, a urinary amount was measured, and then the experiment was finished.
(Experimental Result)
From
In this experimental example, the blood pressure monitor was used to measure the blood pressure, but it is also possible to estimate the desire to void by the method of the physiological phenomenon estimation means 250 of this embodiment which finds the singular point as illustrated in
Next, an embodiment where a means different from that of the embodiment described using
As illustrated in
That is, the physiological phenomenon estimation means 250 of this embodiment is set to estimate the desire to void from an appearance ratio of the positive waveform pattern and the negative Waveform pattern during a predetermined period. This will be described using data, of the subject A in the above embodiment.
As illustrated in
Table 7 shows the correlation between the determination of the presence/absence of a desire to void according to the determination criterion illustrated in
Percentage of correct answers was 82% for “presence of desire to void” and 68% for “absence of desire to void”. The result of the Fisher's exact test was p=0.01, which is in the range of p<0.05, and therefore, a significant correlation was recognized between the presence/absence of the subjective desire to void of the subjects and the determination of the presence/absence of the desire to void based on the appearance ratio of the negative waveform pattern.
However, determination accuracy differs to a certain degree depending on each subject, and among the subjects, the subject A whose in experimental results ate illustrated in
It is thought that the appearance ratio of the negative waveform pattern found from the pseudo heart sound waveform in this embodiment varies by being influenced by a reflected wave of a pulse wave generated from the heart, that is, it varies when arterial walls are hardened due to an influence of a blood pressure rise or the like and accordingly a propagation velocity of the reflected wave becomes faster. Therefore, the early return of the reflected wave due to the blood pressure rise accompanying the onset of the desire to void appears as a great fluctuation of the appearance ratio of the negative waveform pattern, making it possible to detect the desire to void.
Next, a method to more quickly determine an instant when the desire to void occurs, by using the method to determine the desire to void from the appearance ratio of the negative waveform pattern described in
First, as illustrated in
Next, another analysis method to detect a change in the biological state using the appearance ratio of the negative waveform pattern will be described based on
First, in the same manner as in the above, the time-series waveform of the appearance ratio of the negative waveform is found (
Variations of the fluctuations of the amplitude, the period, the baseline, and so on of the moving average waveform of the appearance ratio of the negative waveform appear in accordance with the change in the desire to void as described above, which indicates that from these fluctuations, the desire to void can be detected, but in addition, their fluctuations are seen according to a change in the sleepiness and autonomic nervous activity, and these fluctuations are indexes usable for detecting various changes in the biological states.
1 biological signal measurement device
11 core pad
12 spacer pad
13 sensor
100 biological state estimation device
200 biological state estimation means
210 back sound and vibration information processing means
220 pseudo heart sound waveform calculation means
230 low-frequency time-series waveform calculation means
240 blood pressure fluctuation estimation means
250 physiological state estimation means
Number | Date | Country | Kind |
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2015-242756 | Dec 2015 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2016/086958 | 12/12/2016 | WO | 00 |