WO2006046648A1 - Healthcare apparatus and program for driving the same to function - Google Patents

Healthcare apparatus and program for driving the same to function Download PDF

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Publication number
WO2006046648A1
WO2006046648A1 PCT/JP2005/019792 JP2005019792W WO2006046648A1 WO 2006046648 A1 WO2006046648 A1 WO 2006046648A1 JP 2005019792 W JP2005019792 W JP 2005019792W WO 2006046648 A1 WO2006046648 A1 WO 2006046648A1
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WO
WIPO (PCT)
Prior art keywords
sensor
health management
vibration
inquiry
health
Prior art date
Application number
PCT/JP2005/019792
Other languages
French (fr)
Japanese (ja)
Inventor
Fumiyo Satoh
Motoki Sone
Toru Watsuji
Yoshiharu Yamamoto
Original Assignee
Sharp Kabushiki Kaisha
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Publication of WO2006046648A1 publication Critical patent/WO2006046648A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6843Monitoring or controlling sensor contact pressure
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0266Operational features for monitoring or limiting apparatus function
    • A61B2560/0271Operational features for monitoring or limiting apparatus function using a remote monitoring unit

Definitions

  • the present invention relates to a health management apparatus that performs physical and mental health management and a program for causing the health management apparatus to function.
  • a portable health monitor of Patent Document 1 has been proposed as a portable health diagnostic device.
  • physiological data which is a measurement result of biological information
  • a database of data that records subjective health status and a data management function.
  • a health monitor system with This portable health monitor has a communication system function that collects multiple physiological and subjective data that can be used by the subject as time-series data, and uploads data periodically from the monitor device to the database.
  • the subjective data is collected at a preset time by an instruction from a doctor or the like, and is collected regardless of the physiological data obtained by monitoring. Has the problems described in the problem.
  • Patent Document 3 a portable ecological information collecting apparatus of Patent Document 3 has been proposed that continuously measures biological information and efficiently collects mental states at that time by timely inquiry.
  • This known technology displays questions about moods and mental states when major changes occur periodically and in biometric information, makes the user manual, collects biometric information and mental information in the same time series, and improves efficiency. It is possible to collect mental information.
  • this known technique is a portable device that can only collect data, and has the problems described in the problem to be solved by the invention below.
  • Patent Document 1 US Patent No. 6095985 (US)
  • Patent Document 2 Japanese Patent Laid-Open No. 2003-220039
  • Patent Document 3 Japanese Patent Laid-Open No. 2003-290176
  • the information collection device of Patent Document 3 can accumulate biometric information and mental information (inquiry results) as time-series information, which can be used for treatment. Diagnosis based on information cannot be made and an improvement method based on the diagnosis result cannot be presented. Therefore, it is not possible to confirm how the health condition is changing without consulting with a doctor, etc., and even if there is a problem in the health condition that requires urgent measures, I can't know.
  • the user cannot confirm how the biometric information (physical condition) has changed as a result of implementing the improvement method. Therefore, it is impossible to provide a health management device without diagnosis by a doctor or the like.
  • the present invention solves the above-mentioned problems of the known technology, and is used for home medical care, remote medical care, or for diagnosing diseases and maintaining health that cannot be measured by medical checkups at medical institutions.
  • the purpose is to provide health care devices to be supported and programs to make them function. Furthermore, it is a portable type that aims to acquire highly reliable data at a practical level, detect the abnormal state of the body in real time, elucidate the cause of the state, eliminate the cause of the abnormality, or improve the symptoms.
  • the purpose is to provide health care devices and programs to make them function.
  • a first invention includes a sensor that measures biological information or environmental information around the living body, an analysis unit that analyzes a measurement result of the sensor, an inquiry unit that asks a user a question and inputs an answer.
  • a diagnosis unit that determines a state of the living body based on an analysis result of the analysis unit and an interrogation result of the inquiry unit, and a biological state that is determined by the diagnosis unit.
  • a health management apparatus comprising: a notification unit configured to notify information.
  • a second invention is the health management device according to the first invention, wherein the sensor portion is separable from the device main body, and communication of sensor measurement result data is performed between the sensor output and the main body. It is characterized by having.
  • a third invention is the health management device according to the first invention, characterized in that it is a mobile phone or a mobile terminal.
  • a fourth invention is the health management apparatus according to the first invention, wherein the apparatus main body including the analysis means, the inquiry means, the diagnosis means, and the notification means can be separated from the sensor. And sensor communication means for communicating sensor measurement results between the sensor and the apparatus main body.
  • a fifth invention is the health management apparatus according to the first invention, further comprising an output device for outputting information, wherein the notification means outputs the information by the output device.
  • a sixth invention is the health management device according to the first invention, further comprising an external device communication means for communicating with another device, wherein the notification means transmits information to the other device by the external device communication means. It is characterized by notifying information.
  • a seventh invention is characterized in that, in the health management device according to the first invention, the inquiry means asks a question when an analysis result of the analysis means satisfies a predetermined condition.
  • An eighth invention is characterized in that, in the health management device according to the first invention, the inquiry means asks a question based on a predetermined schedule.
  • a ninth invention is characterized in that, in the health management apparatus according to the first invention, the notifying means notifies the cause information of the occurrence of a symptom of a living body.
  • a tenth invention is the health management apparatus according to the first invention, wherein the notification means notifies improvement information for improving a symptom of a living body.
  • An eleventh invention is characterized in that, in the health care device according to the ninth invention, the improvement information includes at least one of a medication type, a medication usage amount, and a medication time. To do.
  • a twelfth invention is the health management apparatus according to the first invention, wherein the diagnostic means is The analysis result of the analysis means and the inquiry result of the inquiry means are scored, respectively, and the state of the living body is judged based on the sum of the score of the analysis result and the score of the inquiry result.
  • a thirteenth invention is the health management apparatus according to the first invention, wherein the analysis means generates an analysis result based on a current measurement value and a past measurement value of the sensor. It is a sign.
  • a fourteenth invention is characterized in that, in the health management device according to the first invention, an abnormality notification means for notifying an abnormality in the installation of the sensor based on an analysis result of the analysis means is provided.
  • a fifteenth aspect of the present invention is the health management device according to the first aspect of the invention, further comprising reaction test means for testing a reaction of a living body, and the validity of the inquiry result based on the reaction result of the reaction test means. It is characterized by judging.
  • a sixteenth invention is the health management apparatus according to the first invention, wherein the sensor includes a vibration sensor for detecting a vibration of a living body, and the analysis means detects a past vibration detected by the vibration sensor. Analyzing the deviation of the periodicity of the current vibration with respect to the periodicity, the diagnostic means determines a state relating to psychosomatic disease of the living body based on the analysis result of the analysis means and the inquiry result of the inquiry means, To do.
  • a seventeenth invention is the health management apparatus according to the first invention, wherein the sensor includes a body temperature sensor for detecting a body temperature of a living body, and the analysis means has a predetermined body temperature detected by the body temperature sensor. Analyzing whether or not the force exceeds a given value, and the diagnostic means determines a state related to psychosomatic disease of the living body based on an analysis result of the analysis means and an inquiry result of the inquiry means. And
  • An eighteenth invention is the health management apparatus according to the first invention, wherein the sensor includes a vibration sensor for detecting a vibration of a living body and a body temperature sensor for detecting a body temperature of the living body, and the analyzing means described above Is the deviation of the periodicity of the current vibration from the periodicity of the past vibration detected by the vibration sensor that detects the vibration, and the body temperature detected by the body temperature sensor exceeds a predetermined value.
  • the diagnostic means determines whether the condition relating to the psychosomatic condition of the living body is based on the analysis result of the analysis means and the inquiry result of the inquiry means. It is characterized by judging.
  • the sensor includes a gas sensor for detecting a gas concentration
  • the analysis means has a gas concentration detected by the gas sensor determined in advance.
  • the diagnosis means determines the state of the biological substance hypersensitivity based on the analysis result of the analysis means and the inquiry result of the inquiry means.
  • the notifying means notifies a message that prompts the user to leave the position force sensor where the gas sensor is installed.
  • the sensor includes a vibration sensor that detects a vibration of a living body
  • the analysis means has periodicity of vibration detected by the vibration sensor.
  • the daily life rhythm is acquired based on the daily life rhythm, and an analysis result is generated based on the acquired daily life rhythm
  • the diagnosis means includes the analysis section of the analysis means and the inquiry result of the inquiry means. It is characterized in that a state related to chronic fatigue syndrome of a living body is judged based on the above.
  • the senor includes an illuminance sensor that detects illuminance, and the analyzing means is based on the illuminance detected by the illuminance sensor. Day / night judgment information is generated, and a daily rhythm is obtained based on the periodicity of vibration detected by the vibration sensor and the day / night information.
  • a twenty-third aspect of the health management device is a health related to diet or diet using a sensor that measures at least one of vibration, pulse, heart rate, or body temperature. It is characterized by management.
  • a twenty-fourth invention is characterized in that in the health management device according to the first invention, health management relating to care prevention is performed using a sensor that measures at least one biological information of vibration or speech.
  • a twenty-fifth aspect of the health management device is the health related to apnea syndrome using a sensor that measures at least one biological information of vibration, pulse, heartbeat or respiration. It is characterized by management.
  • a twenty-sixth aspect of the health management device is the health management for dementia using the sensor that measures at least one biological information of vibration, pulse, heartbeat or speech. It is characterized by performing.
  • a twenty-seventh aspect of the health management device is the health management apparatus according to the first aspect of the present invention, in which health management related to Parkinson's disease is performed using a sensor that measures at least one biological information of vibration, pulse, or heartbeat. It is characterized by performing.
  • a twenty-eighth aspect of the health management device is the health related to stroke using the sensor that measures at least one biological information of vibration, pulse, heartbeat, body temperature or speech. It is characterized by management.
  • a sensor that measures at least one biological information of pulsation, heartbeat, or body temperature and biological information related to immunity is used. It is characterized by performing health management related to disability.
  • the thirtieth invention is a first step of analyzing a measurement result of a sensor that measures biological information or environmental information around the living body, and a second step of asking a user a question and inputting an answer. And a third step of determining the state of the living body based on the analysis result of the first step and the inquiry result of the second step, and the state of the living body determined by the third step.
  • a health management program characterized by causing a computer to execute a fourth step of notifying a bulletin.
  • the health management device analyzes physiological information and environmental information about the body obtained by one or a plurality of sensor forces. Interview is performed, and the user himself / herself inputs an answer to the interview. In this interview, user's subjective information can be obtained. As a result of the above, diagnosis is performed by using sensor measurement information, that is, objective information, and subjective information obtained through interviews linked to this objective information, and it has hitherto been determined whether the user's physical condition is different from normal. It is possible to detect in real time with a high level of reliability, and this enables highly accurate health management compared to conventional methods.
  • Whether the user's physical condition is different from normal is, for example, 1) The medical condition is bad or improved
  • the health management device main body and the sensor can be separated, the device main body and the sensor exchange data by communication, so that the user can easily attach the sensor, and is non-constrained, non-invasive, always, It is possible to measure changes in the state of the living body. Furthermore, if the health management device is a mobile phone, it can be easily carried.
  • the present invention includes a communication unit that communicates with other external devices, and informs doctors, family members, and the like based on the results of analyzing the sensor measurement results and the results of patient interviews. Emergency notification is possible.
  • the inquiry means asks a question based on the analysis result of the sensor information by the analysis means or asks a question based on the schedule, it is possible to make an appropriate question according to the symptom. Interrogation information can be obtained at the required time without relying on the patient's memory.
  • the notification means notifies the cause of the symptom and the improvement information, so that a warning or improvement should be made. It is possible to provide a health management device that can immediately inform the user, prevent sickness, and help to improve physical condition immediately.
  • the device can easily determine by calculation, and appropriate and quick diagnosis is possible.
  • a user's past pattern of measurement results or analysis results is provided as a database in a health management device such as a portable information terminal, and the current measurement results and user's past database are included in the analysis program. By comparing with, changes in the user's physical condition can be analyzed with high accuracy.
  • the mobile information terminal is provided with a characteristic pattern of analysis results and inquiry results for each disease as a database, and by comparing the results of the analysis means or the results of the inquiry means with the disease database in the diagnostic program.
  • a health management device that performs a more accurate diagnosis.
  • the health management device of the present invention increases the prescribed dosage and shows abnormalities for patients who are currently known to be ill when abnormal physical conditions are noticeable. In cases where there is no such drug, it can be used to control dosage and collect information on side effect reactions by refraining from medication. In combination with a medication reminder, it has been possible to provide effective medication support in the past.
  • FIG. 1 is a diagram showing a configuration of a health management device according to the present invention.
  • FIG. 2 shows the items to be measured by the health (disease) management target and sensor in the present invention.
  • FIG. 3 is a flowchart showing a flow of processing of the health management device according to the present invention.
  • FIG. 4 is a configuration diagram for implementing a health management device for chronic fatigue syndrome according to the present invention.
  • FIG. 5 is a table showing the types and concentrations of gases that cause changes in the physical condition of patients in an embodiment of the health management device for chemical sensitivity according to the present invention.
  • FIG. 6 is a table showing the contents of an inquiry and the answer results in an embodiment of the health management device for chemical sensitivity according to the present invention.
  • Mobile information terminal 110 Data memory installed in personal digital assistants
  • FIG. Fig. 1 shows the configuration of a mental and physical health management apparatus according to the present invention, in which a user wears two sensors for measuring biological information and carries one sensor for measuring environmental information around the user! This is an example of /.
  • the health management device includes one or a plurality of sensors 102 and 103 that measure the biological information of the user 101, a sensor 104 that measures one or a plurality of surrounding environmental information, and portable information.
  • the terminal 109 is configured.
  • the measurement data of the sensors 102 to 104 can be transferred to the mobile information terminal 109 to each sensor 102 to 104 and the mobile information terminal 109, and the setting information can be transferred from the mobile information terminal 109 to each sensor 102 to 104.
  • Possible wireless communication function 105-108 Possible wireless communication function 105-108.
  • the main body of the device and the sensor can be separated via wireless communication, and there is an advantage that the user can easily wear the sensor.
  • the sensor and the portable information terminal transfer information via a wireless communication function, but it is also possible to use wired communication that does not necessarily need to be transmitted using wireless communication.
  • a portable information terminal incorporating an environmental sensor or a biosensor can also be used.
  • the portable information terminal 109 includes a data memory 110, an analysis program 111 for analyzing measurement data, and an inquiry program for asking questions about the health condition of the user and the environment where the user is placed. 112, a brain function test program 113 for measuring brain functions, and an analysis program The result of program 111 and the result of inquiry program 112 are also equipped with a diagnostic program 115 for diagnosing health conditions. Based on the analysis program 111, the inquiry program 112, the brain function test program 113, and the diagnosis program 115, the CPU of the portable information terminal 109 analyzes the analysis means, the inquiry means, the brain function test means, It functions as a diagnostic tool. In order to make a diagnosis more accurately, a diagnostic database 114 that links disease symptoms and analysis of measurement results may be provided.
  • a terminal having a processing capability similar to that of the sensor data analysis, interrogation, and diagnosis programs executed by the portable information terminal 109 may be used. It is possible to carry out using a dictionary and it is easy to carry
  • the user 101 wears one or a plurality of sensors 102, 103 that measure biological information on a part of the body.
  • the sensor that measures biological information includes, for example, a wrist, a leg, or a waist.
  • a vibration sensor that measures the degree of physical activity by wearing an accelerometer, a tilt sensor that measures the tilt of the body, a gyro sensor that measures the degree of body rotation, a magnetic sensor that measures the direction of the body, ears, wrist ⁇
  • Pulse 'blood flow sensor to measure pulse, blood flow, blood oxygen saturation by wearing on finger of hand, body temperature sensor to wear on ear or armpit, breathing to measure movement of chest etc.
  • Sensors or heart rate monitors speech sensors that analyze the user's speech by wearing a microphone on part of the ear or face, other electromyographs, and biosensors.
  • the user 101 may carry a sensor 104 that measures surrounding environmental information.
  • Sensors that measure ambient environmental information include, for example, gas sensors, GPS position sensors, temperature sensors that measure air temperature, humidity sensors, barometers, rainfall gauges, snow gauges, microphones that measure environmental noise, and the amount of particulates in the air
  • particle counters that measure the electromagnetic field
  • electromagnetic field intensity sensors that measure electromagnetic waves
  • human sensor that uses IR and cameras
  • seismometers or illuminance sensors that measure the passing and approach of objects.
  • the type of sensor to be worn or carried is selected according to the user's health and disease management items.
  • Health care targets preventive Z status management diseases, etc.
  • attached sensors Figure 2 shows examples of the types of measurement, especially the measurement items.
  • the sensors 102 and 103 that measure biological information and the sensor 104 that measures environmental information use the wireless communication functions 105 to 108 to transfer the information of the measurement result to the portable information terminal 109 (step S12).
  • the measured information can be transferred by streaming, but the measurement data can be accumulated on the sensor side and the information transferred periodically.
  • the portable information terminal 109 stores the measurement information to which each sensor force is transferred in the data memory 110 in a time series.
  • the CPU of the portable information terminal 109 functions as an analysis means by the analysis program 111, analyzes the measurement results of each sensor (step S13), and the measurement results do not indicate an abnormal value or is normal. (Step S14).
  • the analysis program 111 prepares an analysis program according to the type and number of sensors carried by the user 101 and the type of disease (health management target) to be prevented or examined.
  • the portable information terminal 109 starts the inquiry program 112 (step S15).
  • the CPU starts when there is an abnormality in sensory biometric information, when it is started by a schedule, when the user recognizes a change in his / her physical condition or anxiety occurs For example, the user can directly start the inquiry program 112.
  • the CPU determines whether the abnormal force of the biometric information extracted from the sensor force is due to a malfunction such as a failure or dropout of the sensor, due to a change in the user's psychological state, or due to a change in physical condition. Ask questions to make decisions. Actually, a questionnaire about the user's surrounding environment and the user's psychological state is conducted, and the user's subjective information is extracted. The answer to the inquiry is input by the user 101 himself / herself into the portable information terminal 109. (Step S 16)
  • the CPU activates the brain function test program 113 (step S 17), and measures the brain function.
  • the measured biological information, the output result of the analysis program 111, and the result of executing the inquiry and brain function test program 113 are accumulated in the data memory 110 in time series.
  • step S18 the data diagnosis program 115 causes the CPU to evaluate the acquired result, or to compare the database 114 or refer to the medical dictionary to determine the symptoms. It is determined whether or not there is a sign, and the process is terminated (step S19).
  • the user is notified of the symptom status notification, the symptom improvement method, and the request for improvement of the device mounting status. Notifications to users are made using the audio output, vibration output, LED display, and display display functions of the mobile information terminal 109 and other sensor devices and notification-only devices.
  • the portable information terminal 109 has a communication function with a public network or an IP network
  • the result can be notified to a medical institution or a user's family.
  • a server of a medical institution or a personal computer of a family it is possible to notify a server of a medical institution or a personal computer of a family, and further to the portable information terminal 109 for an inquiry of a doctor or family force and notification of treatment. In this way, it is possible to build a health management system using these devices.
  • the patient can recognize the action to be taken care of, the action to be taken next, the current symptom, and the like by immediately notifying the patient of the diagnosis result and the cause of the change.
  • the doctor can know the patient's medical condition correctly without frequent visits.
  • Chronic fatigue syndrome shows symptoms that persist for a long time, such as fatigue, depression, mental disabilities, and slight fever. , Sleep disorders, and fatigue that is difficult to recover after movement.
  • the life rhythm of a person's sleep state and awake state usually has a periodicity that repeats in 24 hours.
  • the rhythm of chronic fatigue syndrome patients loses their periodicity after intense exercise and deviates from the usual 24 hours. This tendency is more common in patients with chronic fatigue syndrome, which is difficult for healthy people to occur.
  • a vibration sensor is attached to the wrist, and human body movement information is acquired by a vibration sensor, and MCP (MCP (M)
  • the MCP value after a person's intense exercise is 23.86 hours for a healthy person, compared to 24.20 hours for a patient with chronic fatigue syndrome.
  • the discrimination method based on the MCP value is used as an example of an analysis program.
  • WTNMM is a technique for analyzing the multifractal nature of fluctuations.
  • wavelet transformation is performed as follows.
  • Ty [f] (b, a) -J ⁇ f (t) y ((t-b) / a) ⁇ dt
  • f (t) is a zero cross value at time t.
  • the zero cross value is body movement information, which is a value obtained by taking out the AC component of the vibration sensor attached to the wrist and counting the number of accelerations greater than 0.01G. This count value shows a tendency that the increase is large when the user is awake, whereas the increase is very small when the user is sleeping.
  • ⁇ (X) is called the mother-wavelet.
  • Non-Patent Document 2 the result of subdividing the Gaussian function three times is used. Specifically, it is the following formula 2.
  • DFA is an application of the theory of fractional Brownian motion, which is a model of fractal fluctuation. If the function is divided by a certain time scale n, the time series of the fractional brown motion can be expressed as follows.
  • means distribution matching.
  • F (n) is the value obtained by calculating the accumulated value per unit time of vibration data (zero cross value) and subtracting the accumulated average value per unit time in the current unit time. It is assumed that this distribution of F (n) coincides with the power of ⁇ .
  • 1.5
  • either the zero-cross value has been increasing in the past but is currently decreasing, or when it has been decreasing in the past but is currently increasing. It shows that it is.
  • greater than 1.5
  • the zero-crossing value is either when the past and present are also increasing, or when the past is decreasing and also currently decreasing.
  • the diagnosis result and the cause of the change are immediately fed back to the patient.
  • the patient can recognize the action to be taken care of, the action to be taken next, the current symptoms, and the like.
  • the doctor can correctly know the patient's medical condition without frequent visits.
  • the user wears a vibration sensor 301 on the wrist and a temperature sensor 302 on the armpit, and collects body temperature information and body motion information, respectively.
  • the vibration sensor attached to the wrist may be a wristwatch type, and measurement with the wrist is common at present, but the wearing location can be selected as needed and is not limited.
  • Each sensor transfers body temperature information and body motion information to the portable information terminal 303 using a wireless communication function.
  • the portable information terminal activates the analysis program.
  • the physical condition coefficient at a certain time t is defined as m (t) and defined as follows.
  • m (t) ⁇ m (t ⁇ l) is calculated using the physical condition coefficient m (t ⁇ 1) that is the analysis result at time (t ⁇ 1) before time t.
  • m (t) -m (t- 1) ⁇ 0, it is determined that the symptom is worse at time t than when time (t 1), and m (t) -m (t- l ) If> 0, judge that symptoms are improving.
  • the user's symptom may be bad when the following conditional expression is satisfied: If you continue V, you can cut half IJ.
  • the vibration sensor As an example, if there is little body movement (for example, the zero cross value of 30 minutes is 10 or less), the vibration sensor may have been removed rather than not powering the body. It can be judged.
  • the wearing situation can be improved, and if it is confirmed that the wearing is not abnormal, it is determined whether the sensor is faulty or the user's true physical condition is bad. It is also possible to reduce false alarms when notifying anyone other than Sarahko, doctors, health 'medical institutions, etc.
  • the inquiry program is started in the following three cases.
  • An inquiry program is launched, and the user is notified of the inquiry through the alarm function or vibration function of the sensor device or personal digital assistant in order to prompt the user for an inquiry (questionnaire).
  • the inquiry program when a change in physical condition is observed, that is, when m (t) X m (t ⁇ 1) ⁇ 0, the inquiry program is started. Or, when a significant tendency to worsen symptoms is determined, that is, when the sum of physical condition coefficients at the time (ta) several hours ago (t—a) falls below the threshold Start the program.
  • the inquiry program is started at a preset time. In this case, it is performed several times a day, and when the set time comes, the program is automatically started on the portable information terminal.
  • the interview execution time is, for example, immediately after getting up, 9 o'clock, 14 o'clock, 20 o'clock, before going to bed, etc., and when the set time comes, the interview program is started, and the inquiry time is due to the ventilation function to the user Be notified.
  • the purpose of such an inquiry program activation method is to accurately record the specific symptoms and surrounding environment when the user feels unwell, and to accurately convey the information during an interview with a doctor. Is to be able to. Also, when the user feels anxiety about the disease, it is to resolve the insecurity by notifying the user of the situation by comparing the analysis result of the sensor data and the interview result.
  • the contents of the inquiry are questions for obtaining the subjective information and environmental information of the users.
  • An example is shown below.
  • the response method for these questionnaires should be in the form of answering in 20 steps, for example, whether the mood is biased rather than just answering the answer.
  • the questionnaire results as described above can be used as an element for determining whether the physical condition is deteriorated due to chronic fatigue syndrome.
  • the analysis program shows that the physical condition coefficient m (t) is low, that is, the symptoms of chronic fatigue syndrome are high, and the questionnaire results power Users are more accurately judged to have a strong tendency for chronic fatigue syndrome.
  • the questionnaire shows a strong feeling of fatigue even though m (t) is high and the symptoms of chronic fatigue syndrome are low, it may be a disease other than chronic fatigue syndrome. is there. As described above, more accurate diagnosis can be performed using the questionnaire results.
  • a brain function test program may be performed. There is a test called CPT that tests brain function in general.
  • the brain function test program is implemented for users in a form that gives it a game character.
  • ⁇ , ⁇ and ⁇ characters are displayed on the screen every second. For example, a rule is set so that a specific button is pressed when ⁇ ⁇ appears and no button is pressed when ⁇ appears. Characters are displayed randomly for 30 seconds at 1-second intervals, and the user recognizes the displayed character and determines whether or not to press the button. Evaluate the accuracy rate of user responses. If this test result is bad, the user can determine that there may be any problem with brain function.
  • the diagnosis program comprehensively determines the analysis results of the sensor measurement data, the interview results, and the results of the brain function test. For example, each result is converted into a score, and the total score is calculated. Use for comprehensive diagnosis.
  • the diagnosis result is notified immediately to the user, to the doctor or family via a public line, or recorded on a portable information terminal and can be used for a health check at a later date.
  • the analysis result of the cause of the symptom is Inform users and include what they should do to improve their symptoms.
  • the present invention analyzes the measured data on-site in real time, conducts an inquiry, and informs the user of the result, thereby suppressing the worsening of the symptom of the disease. And help to improve symptoms.
  • the analysis method of sensor measurement data, interviews, the contents of the brain function test program, and the power of examples of messages to be notified to the user are not limited to these contents.
  • the method of determining whether symptoms of chronic fatigue syndrome are bad !, signs or good !, signs can be done by other methods.
  • the present invention is also implemented as a portable health management device that makes a more accurate diagnosis from data analysis and interview contents for other diseases as well. It is also possible to do.
  • Chemical hypersensitivity as represented by sick house syndrome, does not change the patient's physical condition at all unless chemicals are exposed to the patient. Therefore, when a patient with chemical sensitivity is diagnosed by a doctor, the diagnosis is difficult because the chemical substance that causes the symptoms is not exposed on the spot. Therefore, symptoms caused by chemical hypersensitivity Even if there are symptoms, seizures, and the patient suffers, the doctor cannot diagnose the condition, and the doctor must make a diagnosis only by checking with the patient.
  • the health management device for chemical substance hypersensitivity is composed of an environmental sensor that detects the gas concentration and a portable information terminal that has the same inquiry function as the example of chronic fatigue syndrome.
  • the inquiry program can be started when the gas concentration exceeds the threshold value by the gas sensor, or when the user feels a change in physical condition, or the user can start the interview program. It is.
  • Figures 5 and 6 show the experimental results of 13 patients with chemical sensitivity and 12 healthy subjects.
  • Figure 5 shows the types and concentrations of gases that cause the patient to change their physical condition.
  • Figure 6 also shows the patient's physical symptoms such as palpitation and nausea and anxiety and other moods, comparing the symptoms of gas exposure and normal conditions, and the results are significant. It shows the contents of the interview where a significant difference was observed.
  • Figure 6 shows that by conducting these interviews, it is possible to determine whether or not a patient has symptoms of chemical hypersensitivity.
  • Figure 5 shows that patients with chemical hypersensitivity develop symptoms at very low gas concentrations, which is completely different from normal subjects.
  • the result of the gas concentration in FIG. 5 and the result of the inquiry content in FIG. 6 are adopted as the judgment of the value different from the normal value and the inquiry content of the gas sensor of the present invention.
  • the gas concentration is detected at a relatively low concentration (in formaldehyde, for example, lOppb), and the user himself / herself can make an answer before the seizure occurs.
  • a relatively low concentration in formaldehyde, for example, lOppb
  • the diagnostic program determines whether or not there is any sign of chemical sensitivity. It is advised to avoid the power of the place.
  • the symptoms of chemical hypersensitivity can be objectively diagnosed, and the type of gas that causes the symptoms and the gas concentration at which signs and symptoms occur can be determined, allowing doctors to make appropriate diagnoses and prescriptions. It becomes.
  • an easy-to-carry automatic gas detector and detection rod were used as the gas sensor.
  • a gas sensor using IR which has been downsized due to recent technological innovation, and ultra-small gas chromatography may be used. ,.
  • a health management device equipped with a heart rate monitor and vibration sensor in addition to the gas sensor is It is also possible to more accurately perform the symptom diagnosis.

Abstract

A mobile information terminal (109) stores, in a time sequence, measurement information transferred from sensors into a data memory (110). A CPU of the mobile information terminal (109) analyzes the measurement results by use of an analysis program (111) to determine whether any of the measurement results indicates any extraordinary value. If the output result of the analysis program (111) indicates any response that is different from a normal one, then the mobile information terminal activates a diagnosis-by-asking-questions program. The CPU uses the diagnosis-by-asking-questions program (112) to ask questions so as to determine whether the extraordinary biometric information extracted from the sensors is caused by any deficiencies such as fault conditions or omissions of the sensors, or by a variation in the psychological condition of the user, or by a variation in the physical condition of the user. Answers to the questions are entered by the user (101) itself into the mobile information terminal (109). This is used for home-based medical care and telemedicine or directed to support such a diagnosis of disease or such a health maintenance that is difficult for any medical institutions to provide.

Description

明 細 書  Specification
健康管理装置及びこれを機能させるためのプログラム  Health management device and program for functioning the same
技術分野  Technical field
[0001] 本発明は、心身の健康管理を行う健康管理装置及びこれを機能させるためのプロ グラムに関するものである。  TECHNICAL FIELD [0001] The present invention relates to a health management apparatus that performs physical and mental health management and a program for causing the health management apparatus to function.
背景技術  Background art
[0002] 近年、在宅医療や遠隔医療の必要性と、医療機関による健康診断の実施では判 定できない病気の常時検診を可能とするため、医療機関で利用するような高性能医 療機器ではなぐ在宅、遠隔で計測可能な携帯型の健康診断機器が開発されてきた 。また、高齢者医療や、介護の重度を軽減するような介護予防の観点力もも、在宅型 、携帯型の健康管理機器の開発が必要とされている。  [0002] In recent years, the necessity of home medical care and telemedicine, and the ability to constantly check for diseases that cannot be determined through the implementation of health examinations by medical institutions, are not suitable for high-performance medical equipment used in medical institutions. Portable health checkup devices that can be measured remotely at home have been developed. In addition, it is also necessary to develop home-based and portable health management devices for medical care for the elderly and for the prevention of nursing care that reduces the severity of nursing care.
[0003] 携帯型の健康診断機器として、特許文献 1の携帯型の健康モニタが提案されてい る。一般に医療機関による健康診断だけでは、病気の症状が悪い状態の時のデータ を常に計測できないという問題がある。この問題を解決するために、特許文献 1の携 帯型の健康モニタでは、生体情報の計測結果である生理学的データと、主観的な健 康状態を記録したデータ力 なるデータベースと、データ管理機能をもつ健康モニタ システムを提案している。この携帯型健康モニタでは、被験者力も得られる複数の生 理学的および主観的データを、時系列データとして収集することや、モニタ機器から データベースに定期的にデータをアップロードする通信システム機能をもつことによ つて、自動的に、非侵襲で計測する機能をもち、また、被験者の心理的状態や活動' 環境情報の主観的レポートを作成する機能をもつことによって、客観的な生理学デ ータと主観的なデータを、時系列で整備し、被験者 Z患者の健康ヒストリを作ることが 可能となっている。前記主観的なデータは、医者などの指示により予め設定された時 刻に収集されるものであり、モニタリングによって得られた前記生理学的データとは無 関係に収集され、下記発明の解決しょうとする課題に記載した問題点を有する。  [0003] A portable health monitor of Patent Document 1 has been proposed as a portable health diagnostic device. In general, there is a problem that it is not always possible to measure data when the symptom of a disease is bad only by medical examinations by medical institutions. In order to solve this problem, the portable health monitor disclosed in Patent Document 1 uses physiological data, which is a measurement result of biological information, a database of data that records subjective health status, and a data management function. A health monitor system with This portable health monitor has a communication system function that collects multiple physiological and subjective data that can be used by the subject as time-series data, and uploads data periodically from the monitor device to the database. Therefore, it has a function to automatically and non-invasively measure, and to create a subjective report of the subject's psychological state and activity 'environmental information. It is possible to create a health history of subject Z patients by preparing historical data in time series. The subjective data is collected at a preset time by an instruction from a doctor or the like, and is collected regardless of the physiological data obtained by monitoring. Has the problems described in the problem.
[0004] また、一般に被検者の生体情報が、日常値において大きくばらつきがあるため被検 者の身体異常発生は正確に検知できないという問題がある。特許文献 2では、この問 題を解決するため、被検者の血圧、脈拍、呼吸数、血中酸素濃度の生体情報のうち 、少なくとも一つの生体情報を測定する生体情報測定装置と加速度センサの情報を ネットワークで伝送し、複数のデータに異常があった場合警告を発するシステムを提 案している。しかし、本公知技術も、センサと取り付け方法、センサ力ものデータの識 別方法等に問題があり、下記発明の解決しょうとする課題に記載した問題点を有す る。 [0004] In addition, since the biological information of the subject generally varies widely in daily values, there is a problem that the occurrence of a physical abnormality of the subject cannot be detected accurately. In Patent Document 2, this question is In order to solve the problem, the information of the biological information measuring device that measures at least one of the biological information of the subject's blood pressure, pulse, respiratory rate, and blood oxygen concentration and the information of the acceleration sensor are transmitted over the network, We have proposed a system that issues a warning when there is an abnormality in multiple data. However, this known technique also has problems in the sensor and mounting method, the method for identifying data of sensor force, and the like, and has the problems described in the problem to be solved by the invention below.
[0005] また、生体情報を連続的に計測すると共に、適時問診によりその時の精神状態を 効率よく収集する、特許文献 3の携帯型生態情報収集装置が提案されている。  [0005] In addition, a portable ecological information collecting apparatus of Patent Document 3 has been proposed that continuously measures biological information and efficiently collects mental states at that time by timely inquiry.
本公知技術では、定期的及び生体情報に大きな変化が生じた時、気分や精神状 態についての質問を表示し、利用者に人力させ、生体情報と精神情報を同じ時系列 で収集し、効率的な精神情報の収集を可能としている。しかし、本公知技術は、デー タ収集のみが可能な携帯装置であり、下記発明の解決しょうとする課題に記載した 問題点を有する。  This known technology displays questions about moods and mental states when major changes occur periodically and in biometric information, makes the user manual, collects biometric information and mental information in the same time series, and improves efficiency. It is possible to collect mental information. However, this known technique is a portable device that can only collect data, and has the problems described in the problem to be solved by the invention below.
特許文献 1 :US Patent No. 6095985 (US)  Patent Document 1: US Patent No. 6095985 (US)
特許文献 2:特開 2003 - 220039号公報  Patent Document 2: Japanese Patent Laid-Open No. 2003-220039
特許文献 3:特開 2003— 290176号公報  Patent Document 3: Japanese Patent Laid-Open No. 2003-290176
発明の開示  Disclosure of the invention
発明が解決しょうとする課題  Problems to be solved by the invention
[0006] 特許文献 1の携帯型健康モニタでは、計測した生体データ (生理学的データ)と問 診による主観的データとを時系列データとしてデータベースに単に蓄積しているだけ である。従って、利用者の心身の健康状態の変化をリアルタイムで判断し、その変化 に応じた対処手段を決定し、利用者に直ちに警告を与えたり、状態の改善を促したり することができない。 [0006] In the portable health monitor of Patent Document 1, measured biological data (physiological data) and subjective data obtained by an inquiry are simply accumulated in a database as time-series data. Therefore, it is impossible to judge a change in the mental and physical health status of the user in real time, determine a countermeasure for the change, give a warning to the user immediately, or prompt improvement of the status.
[0007] また、特許文献 2の携帯装置においては、複数の生体情報を収集するセンサを設 け、平均化や総合的判断を行うことにより、携帯型または簡易型センサに特有の周囲 の雑音による計測誤差やセンサの脱落による計測誤りを軽減できるとしている。この ように複数のセンサによって計測精度を上げた結果を用いて、信頼性の高い緊急通 報が行うことが可能としている。し力しながら、複数センサを用いて計測精度を上げた としても、利用者の心理状態の変化、例えば、人前で緊張したなどという正常な心理 状態の変化にも、センサは異常値を出力してしまう。従来の携帯装置は、このような 正常な心理状態の変化に対しても異常警告を発してしまい、実際の遠隔医療などに 用いる場合には、情報の信頼性が低ぐ実用的でない。さらに、複数のセンサを設け ることにより、センサの脱落によって計測精度が著しく低下することを防いではいるが 、センサ脱落による計測の欠落を防ぐことや、またセンサが脱落したことを確認するこ とはできない。 [0007] In addition, in the portable device of Patent Document 2, a sensor that collects a plurality of pieces of biological information is provided, and by averaging and comprehensive judgment, the ambient noise peculiar to the portable or simple sensor is caused. It is said that measurement errors due to measurement errors and sensor dropouts can be reduced. In this way, it is possible to perform highly reliable emergency notification using the results of increasing the measurement accuracy with multiple sensors. The measurement accuracy was improved using multiple sensors. However, the sensor also outputs an abnormal value even when the user's psychological state changes, for example, when the normal psychological state changes such as tension in public. Conventional portable devices issue an abnormal warning even for such a change in normal psychological state, and when used for actual telemedicine, the reliability of information is low and impractical. In addition, by providing multiple sensors, it is possible to prevent the measurement accuracy from being significantly reduced due to sensor dropout, but it is possible to prevent missing measurements due to sensor dropout and to confirm that the sensor has fallen out. I can't.
[0008] また、特許文献 3の情報収集装置にぉ 、ては、生体情報と精神情報 (問診結果)を 時系列情報として蓄積することで、その情報を治療に役立てることはできるが、それら の情報をもとに診断し、その診断結果に基づく改善方法を提示することはできない。 したがって、医師などの診断を仰がなければ、健康状態がどのように推移しているか 確認できず、緊急な措置が必要な健康状態に問題がある場合であっても、自らがそ の状態を知ることができな 、。  [0008] Also, the information collection device of Patent Document 3 can accumulate biometric information and mental information (inquiry results) as time-series information, which can be used for treatment. Diagnosis based on information cannot be made and an improvement method based on the diagnosis result cannot be presented. Therefore, it is not possible to confirm how the health condition is changing without consulting with a doctor, etc., and even if there is a problem in the health condition that requires urgent measures, I can't know.
またその改善方法の実施の結果、生体情報 (体調)がどのように変化した力も、利 用者自らが確認することもできない。したがって、医師等の診断なしには、健康管理 装置を提供することはできな 、。  In addition, the user cannot confirm how the biometric information (physical condition) has changed as a result of implementing the improvement method. Therefore, it is impossible to provide a health management device without diagnosis by a doctor or the like.
[0009] そこで、本発明は、上記公知技術の問題点を解決するものであり、在宅医療や遠 隔医療用として、あるいは、医療機関による健康診断では測ることのできない病気の 診断や健康維持をサポートする健康管理装置及びこれを機能させるためのプロダラ ムの提供を目的としたものである。さらに、実用レベルでの信頼性の高いデータ取得 、リアルタイムでの身体の通常とは異なる状態の検出、その状態の原因解明、異常を 引き起こした原因の排除あるいは症状の改善を目的とした携帯型の健康管理装置及 びこれを機能させるためのプログラムの提供を目的としたものである。  [0009] Therefore, the present invention solves the above-mentioned problems of the known technology, and is used for home medical care, remote medical care, or for diagnosing diseases and maintaining health that cannot be measured by medical checkups at medical institutions. The purpose is to provide health care devices to be supported and programs to make them function. Furthermore, it is a portable type that aims to acquire highly reliable data at a practical level, detect the abnormal state of the body in real time, elucidate the cause of the state, eliminate the cause of the abnormality, or improve the symptoms. The purpose is to provide health care devices and programs to make them function.
課題を解決するための手段  Means for solving the problem
[0010] 第 1の発明は、生体情報または生体の周囲の環境情報を計測するセンサと、前記 センサの計測結果を解析する解析手段と、利用者に質問を行い、回答を入力させる 問診手段と、前記解析手段の解析結果と前記問診手段の問診結果とに基づいて生 体の状態を判断する診断手段と、前記診断手段が判断する生体の状態に基づ 、て 情報を通知する通知手段と、を備えることを特徴とする健康管理装置である。 [0010] A first invention includes a sensor that measures biological information or environmental information around the living body, an analysis unit that analyzes a measurement result of the sensor, an inquiry unit that asks a user a question and inputs an answer. A diagnosis unit that determines a state of the living body based on an analysis result of the analysis unit and an interrogation result of the inquiry unit, and a biological state that is determined by the diagnosis unit. A health management apparatus comprising: a notification unit configured to notify information.
[0011] 第 2の発明は、第 1の発明記載の健康管理装置において、センサ部分は装置本体 とは分離可能であり、センサ出力と本体との間でセンサ計測結果データの通信を行う 通信手段を有することを特徴とする。  [0011] A second invention is the health management device according to the first invention, wherein the sensor portion is separable from the device main body, and communication of sensor measurement result data is performed between the sensor output and the main body. It is characterized by having.
[0012] 第 3の発明は、第 1の発明記載の健康管理装置において、携帯電話または携帯端 末であることを特徴する。 [0012] A third invention is the health management device according to the first invention, characterized in that it is a mobile phone or a mobile terminal.
[0013] 第 4の発明は、第 1の発明記載の健康管理装置において、前記解析手段、前記問 診手段、前記診断手段、および前記通知手段を含む装置本体と前記センサとは分 離可能であり、前記センサと前記装置本体との間でセンサ計測結果の通信を行うセ ンサ通信手段を有することを特徴とする。 [0013] A fourth invention is the health management apparatus according to the first invention, wherein the apparatus main body including the analysis means, the inquiry means, the diagnosis means, and the notification means can be separated from the sensor. And sensor communication means for communicating sensor measurement results between the sensor and the apparatus main body.
[0014] 第 5の発明は、第 1の発明記載の健康管理装置において、情報を出力する出力デ バイスをさらに備え、前記通知手段は、前記出力デバイスにより情報を出力すること を特徴とする。 [0014] A fifth invention is the health management apparatus according to the first invention, further comprising an output device for outputting information, wherein the notification means outputs the information by the output device.
[0015] 第 6の発明は、第 1の発明記載の健康管理装置において、他の装置と通信する外 部装置通信手段を備え、前記通知手段は、前記外部装置通信手段により情報を他 の装置に情報を通知することを特徴とする。  [0015] A sixth invention is the health management device according to the first invention, further comprising an external device communication means for communicating with another device, wherein the notification means transmits information to the other device by the external device communication means. It is characterized by notifying information.
[0016] 第 7の発明は、第 1の発明記載の健康管理装置において、前記問診手段は、前記 解析手段の解析結果が所定の条件を満たした場合に質問を行うことを特徴とする。 [0016] A seventh invention is characterized in that, in the health management device according to the first invention, the inquiry means asks a question when an analysis result of the analysis means satisfies a predetermined condition.
[0017] 第 8の発明は、第 1の発明記載の健康管理装置において、前記問診手段は、あら 力じめ定められたスケジュールに基づいて質問を行うことを特徴とする。 [0017] An eighth invention is characterized in that, in the health management device according to the first invention, the inquiry means asks a question based on a predetermined schedule.
[0018] 第 9の発明は、第 1の発明記載の健康管理装置において、前記通知手段は、生体 の症状が生じた原因情報を通知することを特徴とする。 [0018] A ninth invention is characterized in that, in the health management apparatus according to the first invention, the notifying means notifies the cause information of the occurrence of a symptom of a living body.
[0019] 第 10の発明は、第 1の発明記載の健康管理装置において、前記通知手段は、生 体の症状を改善するための改善情報を通知することを特徴とする。 [0019] A tenth invention is the health management apparatus according to the first invention, wherein the notification means notifies improvement information for improving a symptom of a living body.
[0020] 第 11の発明は、第 9の発明記載の健康管理装置において、前記改善情報は、少 なくとも投薬の種類、投薬の使用量、または投薬の時刻のいずれかを含むことを特徴 とする。 [0020] An eleventh invention is characterized in that, in the health care device according to the ninth invention, the improvement information includes at least one of a medication type, a medication usage amount, and a medication time. To do.
[0021] 第 12の発明は、第 1の発明記載の健康管理装置において、前記診断手段は、前 記解析手段の解析結果と前記問診手段の問診結果とをそれぞれ点数化し、前記解 析結果の点数と問診結果の点数との加算値に基づいて生体の状態を判断すること を特徴とする。 [0021] A twelfth invention is the health management apparatus according to the first invention, wherein the diagnostic means is The analysis result of the analysis means and the inquiry result of the inquiry means are scored, respectively, and the state of the living body is judged based on the sum of the score of the analysis result and the score of the inquiry result.
[0022] 第 13の発明は、第 1の発明記載の健康管理装置において、前記解析手段は、前 記センサの現在の計測値と過去の計測値とに基づいて解析結果を生成することを特 徴とする。  [0022] A thirteenth invention is the health management apparatus according to the first invention, wherein the analysis means generates an analysis result based on a current measurement value and a past measurement value of the sensor. It is a sign.
[0023] 第 14の発明は、第 1の発明記載の健康管理装置において、前記解析手段の解析 結果に基づいて前記センサの設置の異常を通知する異常通知手段を備えることを特 徴とする。  [0023] A fourteenth invention is characterized in that, in the health management device according to the first invention, an abnormality notification means for notifying an abnormality in the installation of the sensor based on an analysis result of the analysis means is provided.
[0024] 第 15の発明は、第 1の発明記載の健康管理装置において、生体の反応を試験す る反応試験手段を備え、前記反応試験手段による反応結果に基づき、前記問診結 果の妥当性を判断することを特徴とする。  [0024] A fifteenth aspect of the present invention is the health management device according to the first aspect of the invention, further comprising reaction test means for testing a reaction of a living body, and the validity of the inquiry result based on the reaction result of the reaction test means. It is characterized by judging.
[0025] 第 16の発明は、第 1の発明記載の健康管理装置において、前記センサは生体の 振動を検出する振動センサを含み、前記解析手段は、前記振動センサで検出した過 去の振動の周期性に対する現在の振動の周期性のずれを解析し、前記診断手段は 、前記解析手段の解析結果と前記問診手段の問診結果とに基づいて生体の心身症 に関する状態を判断することを特徴とする。  [0025] A sixteenth invention is the health management apparatus according to the first invention, wherein the sensor includes a vibration sensor for detecting a vibration of a living body, and the analysis means detects a past vibration detected by the vibration sensor. Analyzing the deviation of the periodicity of the current vibration with respect to the periodicity, the diagnostic means determines a state relating to psychosomatic disease of the living body based on the analysis result of the analysis means and the inquiry result of the inquiry means, To do.
[0026] 第 17の発明は、第 1の発明記載の健康管理装置において、前記センサは生体の 体温を検出する体温センサを含み、前記解析手段は、前記体温センサで検出した体 温があらかじめ定められた値を越えている力否かを解析し、前記診断手段は、前記 解析手段の解析結果と前記問診手段の問診結果とに基づいて生体の心身症に関 する状態を判断することを特徴とする。  [0026] A seventeenth invention is the health management apparatus according to the first invention, wherein the sensor includes a body temperature sensor for detecting a body temperature of a living body, and the analysis means has a predetermined body temperature detected by the body temperature sensor. Analyzing whether or not the force exceeds a given value, and the diagnostic means determines a state related to psychosomatic disease of the living body based on an analysis result of the analysis means and an inquiry result of the inquiry means. And
[0027] 第 18の発明は、第 1の発明記載の健康管理装置において、前記センサは、生体の 振動を検出する振動センサ、および、生体の体温を検出する体温センサを含み、前 記解析手段は、前記振動を検出する振動センサで検出した過去の振動の周期性に 対する現在の振動の周期性のずれ、および、前記体温センサで検出した体温があら カゝじめ定められた値を越えているカゝ否か、を解析し、前記診断手段は、前記解析手 段の解析結果と前記問診手段の問診結果とに基づいて生体の心身症に関する状態 を判断することを特徴とする。 [0027] An eighteenth invention is the health management apparatus according to the first invention, wherein the sensor includes a vibration sensor for detecting a vibration of a living body and a body temperature sensor for detecting a body temperature of the living body, and the analyzing means described above Is the deviation of the periodicity of the current vibration from the periodicity of the past vibration detected by the vibration sensor that detects the vibration, and the body temperature detected by the body temperature sensor exceeds a predetermined value. The diagnostic means determines whether the condition relating to the psychosomatic condition of the living body is based on the analysis result of the analysis means and the inquiry result of the inquiry means. It is characterized by judging.
[0028] 第 19の発明は、第 1の発明記載の健康管理装置において、前記センサは、ガス濃 度を検出するガスセンサを含み、前記解析手段は、前記ガスセンサで検出したガス 濃度があらかじめ定められた値を越えている力否かを解析し、前記診断手段は、前 記解析手段の解析結果と前記問診手段の問診結果とに基づいて生体の化学物質 過敏症に関する状態を判断することを特徴とする。  [0028] According to a nineteenth invention, in the health management apparatus according to the first invention, the sensor includes a gas sensor for detecting a gas concentration, and the analysis means has a gas concentration detected by the gas sensor determined in advance. The diagnosis means determines the state of the biological substance hypersensitivity based on the analysis result of the analysis means and the inquiry result of the inquiry means. And
[0029] 第 20の発明は、第 19の発明記載の健康管理装置において、前記通知手段は、当 該ガスセンサの設置された位置力ゝらの退去を促すメッセージを通知することを特徴と する。  [0029] According to a twentieth invention, in the health management device according to the nineteenth invention, the notifying means notifies a message that prompts the user to leave the position force sensor where the gas sensor is installed.
[0030] 第 21の発明は、第 1の発明記載の健康管理装置において、前記センサは生体の 振動を検出する振動センサを含み、前記解析手段は、前記振動センサで検出した振 動の周期性に基づき 1日の生活リズムを取得し、取得した前記 1日の生活リズムに基 づき解析緒果を生成し、前記診断手段は、前記解析手段の解析席発と前記問診手 段の問診結果とに基づいて生体の慢性疲労症候群に関する状態を判断することを 特徴とする。  [0030] According to a twenty-first aspect, in the health management device according to the first aspect, the sensor includes a vibration sensor that detects a vibration of a living body, and the analysis means has periodicity of vibration detected by the vibration sensor. The daily life rhythm is acquired based on the daily life rhythm, and an analysis result is generated based on the acquired daily life rhythm, and the diagnosis means includes the analysis section of the analysis means and the inquiry result of the inquiry means. It is characterized in that a state related to chronic fatigue syndrome of a living body is judged based on the above.
[0031] 第 22の発明は、第 21の発明記載の健康管理装置において、前記センサは、照度 を検出する照度センサを含み、前記解析手段は、前記照度センサで検出した照度に 基づ 、て昼夜判断情報を生成し、前記振動センサで検出した振動の周期性と前記 昼夜情報とに基づき 1日の生活リズムを取得することを特徴とする。  [0031] According to a twenty-second invention, in the health management device according to the twenty-first invention, the sensor includes an illuminance sensor that detects illuminance, and the analyzing means is based on the illuminance detected by the illuminance sensor. Day / night judgment information is generated, and a daily rhythm is obtained based on the periodicity of vibration detected by the vibration sensor and the day / night information.
[0032] 第 23の発明は、第 1の発明記載の健康管理装置において、振動または脈拍または 心拍または体温のうち、少なくとも一つ以上を計測するセンサを用いて、ダイエットま たは食事療法に関する健康管理を行うことを特徴とする。  [0032] A twenty-third aspect of the health management device according to the first aspect of the invention is a health related to diet or diet using a sensor that measures at least one of vibration, pulse, heart rate, or body temperature. It is characterized by management.
[0033] 第 24の発明は、第 1の発明記載の健康管理装置において、振動または発話のうち 少なくとも一つ以上の生体情報を計測するセンサを用いて、介護予防に関する健康 管理を行うことを特徴とする。  [0033] A twenty-fourth invention is characterized in that in the health management device according to the first invention, health management relating to care prevention is performed using a sensor that measures at least one biological information of vibration or speech. And
[0034] 第 25の発明は、第 1の発明記載の健康管理装置において、振動または脈拍または 心拍または呼吸のうち、少なくとも一つ以上の生体情報を計測するセンサを用いて、 無呼吸症候群に関する健康管理を行うことを特徴とする。 [0035] 第 26の発明は、第 1の発明記載の健康管理装置において、振動または脈拍または 心拍または発話のうち、少なくとも一つ以上の生体情報を計測するセンサを用いて、 痴呆症に関する健康管理を行うことを特徴とする。 [0034] A twenty-fifth aspect of the health management device according to the first aspect of the invention is the health related to apnea syndrome using a sensor that measures at least one biological information of vibration, pulse, heartbeat or respiration. It is characterized by management. [0035] A twenty-sixth aspect of the health management device according to the first aspect of the present invention is the health management for dementia using the sensor that measures at least one biological information of vibration, pulse, heartbeat or speech. It is characterized by performing.
[0036] 第 27の発明は、第 1の発明記載の健康管理装置において、振動または脈拍または 心拍のうち、少なくとも一つ以上の生体情報を計測するセンサを用いて、パーキンソ ン病に関する健康管理を行うことを特徴とする。  [0036] A twenty-seventh aspect of the health management device according to the first aspect of the present invention is the health management apparatus according to the first aspect of the present invention, in which health management related to Parkinson's disease is performed using a sensor that measures at least one biological information of vibration, pulse, or heartbeat. It is characterized by performing.
[0037] 第 28の発明は、第 1の発明記載の健康管理装置において、振動または脈拍または 心拍または体温または発話のうち、少なくとも一つ以上の生体情報を計測するセンサ を用いて、脳卒中に関する健康管理を行うことを特徴とする。  [0037] A twenty-eighth aspect of the health management device according to the first aspect of the present invention is the health related to stroke using the sensor that measures at least one biological information of vibration, pulse, heartbeat, body temperature or speech. It is characterized by management.
[0038] 第 29の発明は、第 1の発明記載の健康管理装置において、脈拍または心拍または 体温のうち、少なくとも一つ以上の生体情報と免疫に関する生体情報を計測するセ ンサを用いて、精神障害に関する健康管理を行うことを特徴とする。  [0038] According to a twenty-ninth aspect of the invention, in the health management device according to the first aspect of the invention, a sensor that measures at least one biological information of pulsation, heartbeat, or body temperature and biological information related to immunity is used. It is characterized by performing health management related to disability.
[0039] 第 30の発明は、生体情報または生体の周囲の環境情報を計測するセンサの計測 結果を解析する第 1のステップと、利用者に質問を行い、回答を入力させる第 2のス テツプと、前記第 1のステップの解析結果と前記第 2のステップの問診結果とに基づ いて生体の状態を判断する第 3のステップと、前記第 3のステップが判断する生体の 状態に基づいで備報を通知する第 4のステップと、をコンピュータに実行させることを 特徴とする健康管理プログラムである。  [0039] The thirtieth invention is a first step of analyzing a measurement result of a sensor that measures biological information or environmental information around the living body, and a second step of asking a user a question and inputting an answer. And a third step of determining the state of the living body based on the analysis result of the first step and the inquiry result of the second step, and the state of the living body determined by the third step. A health management program characterized by causing a computer to execute a fourth step of notifying a bulletin.
発明の効果  The invention's effect
[0040] 本発明による健康管理装置は、一つあるいは複数のセンサ力 得られた身体に関 する生理情報と環境情報を解析し、解析結果に通常と異なる反応が現れた場合、利 用者に問診を行い、利用者自らが問診に対する回答を入力する。この問診では、利 用者の主観情報を得ることができる。以上の結果、センサの計測情報すなわち客観 情報と、この客観情報と連動した問診による主観情報とを併用して診断を行っており 、利用者の体調が通常と異なっているかどうかが、従来では成しえな力つた高い信頼 性でリアルタイムに検出することができ、このため、従来方法と比べ極めて正確な健 康管理を実施することができる。  [0040] The health management device according to the present invention analyzes physiological information and environmental information about the body obtained by one or a plurality of sensor forces. Interview is performed, and the user himself / herself inputs an answer to the interview. In this interview, user's subjective information can be obtained. As a result of the above, diagnosis is performed by using sensor measurement information, that is, objective information, and subjective information obtained through interviews linked to this objective information, and it has hitherto been determined whether the user's physical condition is different from normal. It is possible to detect in real time with a high level of reliability, and this enables highly accurate health management compared to conventional methods.
[0041] 利用者の体調が通常と異なっているかどうかとは、例えば、 1)病状が悪ィ匕又は改善したこと [0041] Whether the user's physical condition is different from normal is, for example, 1) The medical condition is bad or improved
2)利用者の努力目標 (ダイエットなど)が達成に向力つているか失敗に向力つている 力 3)利用者が服用した薬の効果 (痛みや熱など)が効!、て!/、るか効!、て!/、な!/、か などを指す。  2) The user's effort goal (diet, etc.) is at the forefront or at the point of failure 3) The effect of the drug taken by the user (pain, fever, etc.) is effective! It means ka !!, te! /, Na! /, Ka etc.
[0042] また、健康管理装置本体とセンサを分離可能として装置本体とセンサが通信でデ ータをやり取りするので、利用者は、センサを簡単に取り付けでき、非拘束、非侵襲 で、常時、生体の状態変化を計測することが可能である。さらに、健康管理装置を携 帯電話にすれば、持ち運びも容易となる。  [0042] In addition, since the health management device main body and the sensor can be separated, the device main body and the sensor exchange data by communication, so that the user can easily attach the sensor, and is non-constrained, non-invasive, always, It is possible to measure changes in the state of the living body. Furthermore, if the health management device is a mobile phone, it can be easily carried.
[0043] また、本発明は、外部の他の装置へ通信する通信手段を備えて、センサの計測結 果を解析した結果と、患者への問診結果に基づいて、医者や家族などに知らせる緊 急通報が可能となる。  [0043] In addition, the present invention includes a communication unit that communicates with other external devices, and informs doctors, family members, and the like based on the results of analyzing the sensor measurement results and the results of patient interviews. Emergency notification is possible.
[0044] また、問診手段が、解析手段によるセンサ情報の解析結果に基づいて質問を行つ たり、スケジュールに基づいて質問を行うので、症状に合わせた適切な質問を行うこ とができ、また患者の記憶に頼らずに、必要な時刻に問診情報を得ることができる。  [0044] Further, since the inquiry means asks a question based on the analysis result of the sensor information by the analysis means or asks a question based on the schedule, it is possible to make an appropriate question according to the symptom. Interrogation information can be obtained at the required time without relying on the patient's memory.
[0045] また、利用者の状態が通常と異なり、病状の悪ィ匕が判断された場合などは、通知手 段が症状の原因や改善情報を通知することにより、警告や改善すべき点を利用者に 即座に知らせることができ、病気の悪ィ匕が防げ、また、早急な体調改善への手助けが 可能な健康管理装置を提供することが可能となる。  [0045] Also, when the user's condition is different from normal and a bad condition is determined, the notification means notifies the cause of the symptom and the improvement information, so that a warning or improvement should be made. It is possible to provide a health management device that can immediately inform the user, prevent sickness, and help to improve physical condition immediately.
[0046] また、解析結果と問診結果を点数ィ匕して判断することにより、装置が簡単に演算で 判断可能となり、適切で素早い診断が可能となる。  [0046] Further, by determining the analysis result and the inquiry result by scoring, the device can easily determine by calculation, and appropriate and quick diagnosis is possible.
[0047] また、携帯情報端末等の健康管理装置に、測定結果あるいは解析結果の利用者 の過去のパターンをデータベースとして具備し、解析プログラムにお 、て現在の計測 結果と利用者の過去のデータベースと比較することで、利用者の体調の変化を精度 よく解析することができる。  [0047] In addition, a user's past pattern of measurement results or analysis results is provided as a database in a health management device such as a portable information terminal, and the current measurement results and user's past database are included in the analysis program. By comparing with, changes in the user's physical condition can be analyzed with high accuracy.
[0048] また、解析結果と、解析結果と連動した問診結果を併用した診断を行うことにより、 携帯型及び遠隔型での常時測定環境で問題となる、センサの取り外しや脱落などに よる異常なデータを、携帯情報端末において判断することが可能となり、信頼性の高 いデータを得ることができる。また、センサが外れていることが確認された場合は、利 用者にそれを通知することによって、正常な装着を促すこともできる。 [0048] In addition, by performing a diagnosis that combines the analysis results and the interrogation results linked to the analysis results, abnormalities due to sensor removal or dropping, which are problematic in the constant measurement environment of portable and remote types, are caused. Data can be judged by a portable information terminal, and highly reliable data can be obtained. Also, if it is confirmed that the sensor is disconnected, By notifying the user of this, normal wearing can be promoted.
[0049] また、生体反応を試験して問診結果と比較することにより、さらに正確な診断が可能 となる。  [0049] Further, a more accurate diagnosis can be made by testing the biological reaction and comparing it with the result of the inquiry.
[0050] また、携帯情報端末に、疾病ごとの解析結果や問診結果の特徴的パターンをデー タベースとして具備し、診断プログラムにおいて解析手段の結果または問診手段の 結果と疾病データベースとを比較することにより、さらに正確な診断を行う健康管理 装置を実施することができる。  [0050] Further, the mobile information terminal is provided with a characteristic pattern of analysis results and inquiry results for each disease as a database, and by comparing the results of the analysis means or the results of the inquiry means with the disease database in the diagnostic program. In addition, it is possible to implement a health management device that performs a more accurate diagnosis.
[0051] 本発明の健康管理装置は、現在病気であることが判明している患者に対しては、身 体の状態異常が顕著なときには、処方する投薬量を多くし、また異常が見られないよ うな場合には投薬を控えるようにすることで、投薬量の制御や副作用の反応の情報 収集に利用することができる。また、投薬リマインダ一と組み合わせて、従来にはなか つた効果的な投薬支援が可能となる。  [0051] The health management device of the present invention increases the prescribed dosage and shows abnormalities for patients who are currently known to be ill when abnormal physical conditions are noticeable. In cases where there is no such drug, it can be used to control dosage and collect information on side effect reactions by refraining from medication. In combination with a medication reminder, it has been possible to provide effective medication support in the past.
図面の簡単な説明  Brief Description of Drawings
[0052] [図 1]本発明による健康管理装置の構成を示す図である。 FIG. 1 is a diagram showing a configuration of a health management device according to the present invention.
[図 2]本発明における健康 (病気)管理対象とセンサによる測定項目を示すである。  FIG. 2 shows the items to be measured by the health (disease) management target and sensor in the present invention.
[図 3]本発明における健康管理装置の処理の流れを示すフローチャートである。  FIG. 3 is a flowchart showing a flow of processing of the health management device according to the present invention.
[図 4]本発明による慢性疲労症候群を対象とした健康管理装置を実施する構成図で ある。  FIG. 4 is a configuration diagram for implementing a health management device for chronic fatigue syndrome according to the present invention.
[図 5]本発明による化学物質過敏症を対象とした健康管理装置の実施例における、 患者が体調の変化を起こすガスの種類と濃度を示す表である。  FIG. 5 is a table showing the types and concentrations of gases that cause changes in the physical condition of patients in an embodiment of the health management device for chemical sensitivity according to the present invention.
[図 6]本発明による化学物質過敏症を対象とした健康管理装置の実施例における、 問診内容とその回答結果を示す表である。  FIG. 6 is a table showing the contents of an inquiry and the answer results in an embodiment of the health management device for chemical sensitivity according to the present invention.
符号の説明  Explanation of symbols
[0053] 101 : 利用者 [0053] 101: User
102、 103 : 利用者の生体情報を計測するセンサ  102, 103: Sensors that measure user's biological information
104 : 利用者の周囲の環境情報を計測するセンサ  104 : Sensor for measuring environmental information around users
105〜108 : 無線通信機能  105 to 108: Wireless communication function
109 : 携帯情報端末 110 携帯情報端末に搭載されるデータメモリ 109: Mobile information terminal 110 Data memory installed in personal digital assistants
111 携帯情報端末に搭載される解析プログラム  111 Analysis programs installed in portable information terminals
112 携帯情報端末に搭載される問診プログラム  112 Interview program installed in mobile information terminals
113 携帯情報端末に搭載される脳機能試験プログラム  113 Brain function test program installed in portable information terminals
114 携帯情報端末に搭載されるデータベース  114 Database mounted on personal digital assistants
115 携帯情報端末に搭載される診断プログラム  115 Diagnostic programs installed in personal digital assistants
301 体温情報を計測する温度センサ  301 Temperature sensor to measure body temperature information
302 体動情報を計測する振動センサ  302 Vibration sensor for measuring body movement information
303 携帯情報端末  303 Personal digital assistant
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0054] まず図 1を用いて、健康管理装置の全体の構成と各機能の起動、制御の流れを説 明する。図 1は本発明による心身健康管理装置の構成を示しており、利用者が生体 情報を計測するセンサを二つ装着し、利用者の周囲の環境情報を計測するセンサを 一つ携帯して!/、る場合の例である。  [0054] First, the overall configuration of the health management device, the activation of each function, and the flow of control will be described with reference to FIG. Fig. 1 shows the configuration of a mental and physical health management apparatus according to the present invention, in which a user wears two sensors for measuring biological information and carries one sensor for measuring environmental information around the user! This is an example of /.
[0055] 健康管理装置は、利用者 101の生体情報を計測する一つあるいは複数のセンサ 1 02、 103と、場合によっては一つあるいは複数の周囲の環境情報計測するセンサ 10 4と、携帯情報端末 109により構成される。各センサ 102〜104と携帯情報端末 109 には、それぞれセンサ 102〜104の計測データを携帯情報端末 109に転送し、また 携帯情報端末 109から各センサ 102〜104に設定情報などを転送することが可能な 無線通信機能 105〜108が装備されている。  [0055] The health management device includes one or a plurality of sensors 102 and 103 that measure the biological information of the user 101, a sensor 104 that measures one or a plurality of surrounding environmental information, and portable information. The terminal 109 is configured. The measurement data of the sensors 102 to 104 can be transferred to the mobile information terminal 109 to each sensor 102 to 104 and the mobile information terminal 109, and the setting information can be transferred from the mobile information terminal 109 to each sensor 102 to 104. Possible wireless communication function 105-108.
こうして、装置本体とセンサを無線通信を介して分離可能となるので、利用者がセン サを装着しやすくなるメリットがある。  In this way, the main body of the device and the sensor can be separated via wireless communication, and there is an advantage that the user can easily wear the sensor.
[0056] 今回センサと携帯情報端末は無線通信機能を介して情報の転送を行うが、必ずし も無線通信を用いて伝送する必要はなぐ有線通信を用いることもできる。また、環境 センサや生体センサを組み込んだ携帯情報端末を用いることもできる。  [0056] This time, the sensor and the portable information terminal transfer information via a wireless communication function, but it is also possible to use wired communication that does not necessarily need to be transmitted using wireless communication. A portable information terminal incorporating an environmental sensor or a biosensor can also be used.
[0057] また、携帯情報端末 109には、データメモリ 110と、計測データを解析する解析プロ グラム 111と、利用者の健康状態に関する質問や利用者の置かれた環境に関する質 問を行う問診プログラム 112と、脳の機能を計る脳機能試験プログラム 113と、解析プ ログラム 111の結果と問診プログラム 112の結果力も健康状態の診断を行う診断プロ グラム 115とが装備されている。そして、携帯情報端末 109の CPUは、解析プロダラ ム 111と、問診プログラム 112と、脳機能試験プログラム 113と、診断プログラム 115と に基づいて、解析手段と、問診手段と、脳機能試験手段と、診断手段として機能する また、診断をより正確に行うために、病気の症状と計測結果の解析とを結びつける 診断データベース 114が装備されて 、てもよ ヽ。 [0057] In addition, the portable information terminal 109 includes a data memory 110, an analysis program 111 for analyzing measurement data, and an inquiry program for asking questions about the health condition of the user and the environment where the user is placed. 112, a brain function test program 113 for measuring brain functions, and an analysis program The result of program 111 and the result of inquiry program 112 are also equipped with a diagnostic program 115 for diagnosing health conditions. Based on the analysis program 111, the inquiry program 112, the brain function test program 113, and the diagnosis program 115, the CPU of the portable information terminal 109 analyzes the analysis means, the inquiry means, the brain function test means, It functions as a diagnostic tool. In order to make a diagnosis more accurately, a diagnostic database 114 that links disease symptoms and analysis of measurement results may be provided.
[0058] 本実施例では、センサの計測データの解析、問診、診断のプログラムを携帯情報 端末 109において実行している力 同様の処理能力のある端末であれば良ぐ例え ば、携帯電話や電子辞書を用いて実施することも可能であり、持ち運びも容易となる [0058] In this embodiment, a terminal having a processing capability similar to that of the sensor data analysis, interrogation, and diagnosis programs executed by the portable information terminal 109 may be used. It is possible to carry out using a dictionary and it is easy to carry
[0059] 利用者 101は、体の一部に生体情報を計測するセンサ 102、 103を一つあるいは 複数装着するが、生体情報を計測するセンサとは、例えば、手首、脚、あるいは腰な どに加速度計を装着することにより身体の活動度を計測する振動センサ、身体の傾 きを計測する傾斜センサ、身体の回転度合いを計測するジャイロセンサ、身体の向き を計測する磁気センサ、耳、手首、手の指などに装着し脈拍、血流、血中酸素飽和 度を測定する脈拍'血流センサ、耳や脇の下などに装着する体温センサ、胸などに 装着し胸などの動きを計測する呼吸センサまたは心拍計、耳や顔の一部にマイクを 装着し利用者の発話を分析する発話センサ、他筋電計、バイオセンサなどが挙げら れる。 [0059] The user 101 wears one or a plurality of sensors 102, 103 that measure biological information on a part of the body. The sensor that measures biological information includes, for example, a wrist, a leg, or a waist. A vibration sensor that measures the degree of physical activity by wearing an accelerometer, a tilt sensor that measures the tilt of the body, a gyro sensor that measures the degree of body rotation, a magnetic sensor that measures the direction of the body, ears, wrist・ Pulse 'blood flow sensor to measure pulse, blood flow, blood oxygen saturation by wearing on finger of hand, body temperature sensor to wear on ear or armpit, breathing to measure movement of chest etc. Sensors or heart rate monitors, speech sensors that analyze the user's speech by wearing a microphone on part of the ear or face, other electromyographs, and biosensors.
[0060] また、利用者 101は周囲の環境情報を計測するセンサ 104を携帯する場合もある。  In addition, the user 101 may carry a sensor 104 that measures surrounding environmental information.
周囲の環境情報を計測するセンサとは、例えば、ガスセンサ、 GPSによる位置センサ 、気温を計測する温度センサ、湿度センサ、気圧計、雨量'積雪計、環境雑音を計測 するマイク、空気中の微粒子量を計測するパーティクルカウンタ、電磁波を計測する 電磁界強度センサ、物体の通過 ·接近を計測する IRやカメラを使った人感センサ、地 震計、あるいは照度センサなどがある。  Sensors that measure ambient environmental information include, for example, gas sensors, GPS position sensors, temperature sensors that measure air temperature, humidity sensors, barometers, rainfall gauges, snow gauges, microphones that measure environmental noise, and the amount of particulates in the air There are particle counters that measure the electromagnetic field, electromagnetic field intensity sensors that measure electromagnetic waves, human sensor that uses IR and cameras, seismometers, or illuminance sensors that measure the passing and approach of objects.
[0061] 装着するあるいは携帯するセンサの種類は、利用者の健康と病気の管理項目に応 じて選定される。健康管理の対象 (予防 Z状態管理する病気など)と装着するセンサ の種類、特にその計測項目の例を、図 2に示す。 [0061] The type of sensor to be worn or carried is selected according to the user's health and disease management items. Health care targets (preventive Z status management diseases, etc.) and attached sensors Figure 2 shows examples of the types of measurement, especially the measurement items.
[0062] 次に、図 3に示すフローチャートを用いて、本発明のデータと処理の流れを説明す る。ステップ S 11から処理を始める。生体情報を計測するセンサ 102、 103及び環境 情報を計測するセンサ 104は、無線通信機能 105〜108を用いて、計測結果の情報 を携帯情報端末 109に転送する (ステップ S12)。計測した情報の転送は、ストリーミ ングでもいいが、センサ側で計測データを蓄積し、定期的に情報を転送しても良い。  Next, the flow of data and processing of the present invention will be described using the flowchart shown in FIG. Begin processing at step S11. The sensors 102 and 103 that measure biological information and the sensor 104 that measures environmental information use the wireless communication functions 105 to 108 to transfer the information of the measurement result to the portable information terminal 109 (step S12). The measured information can be transferred by streaming, but the measurement data can be accumulated on the sensor side and the information transferred periodically.
[0063] 携帯情報端末 109は、各センサ力も転送された計測情報をデータメモリ 110に時系 列で保存する。次に、携帯情報端末 109の CPUは、解析プログラム 111により解析 手段として機能し、各センサの計測結果の解析を行い (ステップ S 13)、計測結果が 異常値を示していないか、あるいは、通常と異なるかどうかを判定する (ステップ S14) 。解析プログラム 111は、利用者 101の携帯するセンサの種類と数、及び予防あるい は検診する病気 (健康管理対象の)の種類に応じて解析プログラムを用意しておく。  [0063] The portable information terminal 109 stores the measurement information to which each sensor force is transferred in the data memory 110 in a time series. Next, the CPU of the portable information terminal 109 functions as an analysis means by the analysis program 111, analyzes the measurement results of each sensor (step S13), and the measurement results do not indicate an abnormal value or is normal. (Step S14). The analysis program 111 prepares an analysis program according to the type and number of sensors carried by the user 101 and the type of disease (health management target) to be prevented or examined.
[0064] 解析プログラム 111の出力結果が通常と異なる反応 (異常値)を示した時、携帯情 報端末 109は問診プログラム 112を起動する(ステップ S15)。問診プログラム 112に より CPUは、センサ力もの生体情報に異常があった場合に起動する以外に、スケジ ユールによる起動、利用者が自分の体調の変化を認識したりあるいは体調に不安が 生じたときなどに利用者が直接問診プログラム 112を起動することが可能である。  [0064] When the output result of the analysis program 111 shows an unusual response (abnormal value), the portable information terminal 109 starts the inquiry program 112 (step S15). In response to the interview program 112, the CPU starts when there is an abnormality in sensory biometric information, when it is started by a schedule, when the user recognizes a change in his / her physical condition or anxiety occurs For example, the user can directly start the inquiry program 112.
[0065] 問診プログラム 112により CPUは、センサ力 抽出した生体情報の異常力 センサ の故障や脱落などの不具合によるもの力 利用者の心理状態の変化によるものか、 あるいは、体調の変化によるものかを判断するための質問を行う。実際には、利用者 の周囲環境、利用者の心理状態に関するアンケートを行い、利用者の主観的情報を 抽出しする。問診に対する回答は、利用者 101自らが、携帯情報端末 109に入力す る。(ステップ S 16)  [0065] According to the inquiry program 112, the CPU determines whether the abnormal force of the biometric information extracted from the sensor force is due to a malfunction such as a failure or dropout of the sensor, due to a change in the user's psychological state, or due to a change in physical condition. Ask questions to make decisions. Actually, a questionnaire about the user's surrounding environment and the user's psychological state is conducted, and the user's subjective information is extracted. The answer to the inquiry is input by the user 101 himself / herself into the portable information terminal 109. (Step S 16)
[0066] 次に、 CPUは、脳機能試験プログラム 113を起動し (ステップ S 17)、脳の機能を計 測する。計測した生体情報、解析プログラム 111の出力結果、及び問診及び脳機能 試験プログラム 113を実行した結果は、データメモリ 110に時系列で蓄積される。  Next, the CPU activates the brain function test program 113 (step S 17), and measures the brain function. The measured biological information, the output result of the analysis program 111, and the result of executing the inquiry and brain function test program 113 are accumulated in the data memory 110 in time series.
[0067] 次にステップ S18で、データ診断プログラム 115により CPUは、取得した結果を評 価し、あるいはデータベース 114との比較や、医療辞書を参照することにより症状の 兆候が出て 、るかどうかの判定を行 、、処理を終了する (ステップ S 19)。 [0067] Next, in step S18, the data diagnosis program 115 causes the CPU to evaluate the acquired result, or to compare the database 114 or refer to the medical dictionary to determine the symptoms. It is determined whether or not there is a sign, and the process is terminated (step S19).
[0068] 診断プログラム 115の結果から、症状の状況通知、症状の改善方法、および機器 の装着状況の改善要請などを利用者に通知する。利用者への通知は、携帯情報端 末 109をはじめセンサ機器や通知専用のデバイスの、音声出力、振動出力、 LED表 示、及びディスプレイ表示機能などを用いて行う。 [0068] Based on the result of the diagnostic program 115, the user is notified of the symptom status notification, the symptom improvement method, and the request for improvement of the device mounting status. Notifications to users are made using the audio output, vibration output, LED display, and display display functions of the mobile information terminal 109 and other sensor devices and notification-only devices.
[0069] また、その結果は、携帯情報端末 109が公衆網や IP網との通信機能を持つ場合に は、医療機関や利用者の家族などに通知することも可能である。例えば、医療機関 のサーバや家族のパソコン等に通知を行い、さらに医師や家族力 の問診や処置の 通知を携帯情報端末 109に行なうことも可能となる。このようにこれら装置による健康 管理システムを構築することも可能である。 [0069] Further, when the portable information terminal 109 has a communication function with a public network or an IP network, the result can be notified to a medical institution or a user's family. For example, it is possible to notify a server of a medical institution or a personal computer of a family, and further to the portable information terminal 109 for an inquiry of a doctor or family force and notification of treatment. In this way, it is possible to build a health management system using these devices.
[0070] 本発明の実施の形態では、診断結果や変化した原因等を直ちに患者に通知する ことで、患者は気をつけるべき行動、次にとるべき行動、現在の症状等を認識できる。 記録された体動のデータと問診結果を後日医師にもって行くことで、頻繁に通院しな くても医師は正しく患者の病状を知ることができる。  [0070] In the embodiment of the present invention, the patient can recognize the action to be taken care of, the action to be taken next, the current symptom, and the like by immediately notifying the patient of the diagnosis result and the cause of the change. By taking the recorded body movement data and interview results to the doctor at a later date, the doctor can know the patient's medical condition correctly without frequent visits.
[0071] 次に、本発明の健康管理装置を慢性疲労症候群患者に適用した場合の実施例を 示す。  Next, an example in which the health management device of the present invention is applied to a patient with chronic fatigue syndrome will be described.
慢性疲労症候群は、倦怠感、抑鬱状態、思考力の障害、微熱などが長期にわたり 続く症状を示し、米国厚生省疾病管理 ·予防センター (CDC)の改訂基準診断基準 項目の中に、記憶または集中力の障害、睡眠障害、体動後の回復しにくい疲労感が 挙げられている。  Chronic fatigue syndrome shows symptoms that persist for a long time, such as fatigue, depression, mental disabilities, and slight fever. , Sleep disorders, and fatigue that is difficult to recover after movement.
これらの症状は、病院内での検査だけでは明確に診断できず、現在は、医師と患 者の問診により、患者の記憶を頼りに症状を把握している。また治療に当たっては、 問診時に過去の記憶に基づいて患者が発言した主観的な内容を元に、病状が回復 した力否かを医師が判断して 、た。  These symptoms cannot be clearly diagnosed only by in-hospital examinations, and currently, the symptoms are grasped by relying on the patient's memory through interviews with doctors and patients. In the treatment, the doctor judged whether or not the medical condition was recovered based on the subjective contents of the patient based on the past memories at the time of the interview.
[0072] し力しながら、患者毎に病状の受け止め方が異なることが多ぐ最近の研究によれ ば、患者は最後に感じた苦痛や、最も激し力つた苦痛を印象的に覚えている。しかし ながら、それ以前に発生した苦痛や、苦痛の強度は弱くとも連続的に発生した苦痛 の方が、医師にとっては重要であることが多いにも関わらず、知ることが出来ないとい う問題がある。このような患者毎の受け止め方の違いや、記憶の曖昧さが生じるため 、患者の記憶による正確な診断は困難である。そのため、患者は頻繁に通院し医師 の診断を受ける必要があり、患者の負担が大きくなつている。 [0072] However, according to recent studies, where patients often have different ways of perceiving medical conditions, patients remember the last pain or the most intense pain . However, the pain that occurred before that, or the pain that occurred continuously even though the intensity of the pain was weak, is often more important for doctors, but they cannot know it. There is a problem. Because of such differences in perception and patient ambiguity, accurate diagnosis based on patient memory is difficult. For this reason, patients need to go to the hospital frequently and receive a doctor's diagnosis, which increases the burden on patients.
[0073] そこで近年、患者の主観的な記憶に頼るような診断方法ではなぐ慢性疲労症候群 の客観的な数値による診断を可能とする研究がなされている。  [0073] Therefore, in recent years, studies have been made to enable an objective numerical diagnosis of chronic fatigue syndrome without using a diagnostic method that relies on the patient's subjective memory.
[0074] "j Kyoko uhashi, Yoshinaru Yamamoto, Benjamin H, Natelson, Acti vity rhythm degrades after strenuous exercise in chronic fatigue s yndrome", Physiology & Behavior 77 (2002) 39 -44 [0074] "j Kyoko uhashi, Yoshinaru Yamamoto, Benjamin H, Natelson, Acti vity rhythm degrades after strenuous exercise in chronic fatigue s yndrome", Physiology & Behavior 77 (2002) 39 -44
[0075] (2) Ohashi, K. G. Bleijenberg, S. Van der Warf, J. Prins, L. A. N. Amar al, B. H. Natelson, and Y. Yamamoto ^ "Decreased Fractal Correlation in Diuranal Physical Activity in Chronic Fatigue Syndrome", Met hods of Information in Medicine 43 : 26— 29, 2004 [0075] (2) Ohashi, KG Bleijenberg, S. Van der Warf, J. Prins, LAN Amar al, BH Natelson, and Y. Yamamoto ^ "Decreased Fractal Correlation in Diuranal Physical Activity in Chronic Fatigue Syndrome", Met hods of Information in Medicine 43: 26— 29, 2004
[0076] 文献(1)によると、人の睡眠状態と覚醒状態の生活リズムは、通常 24時間で繰り返 す周期性を持っている。しかし慢性疲労症候群患者の前記リズムは、激しい運動をし た後にその周期性が崩れ、通常の 24時間からずれを生じる。この傾向は、健康な人 には起こりにくぐ慢性疲労症候群患者によく現れる。具体的には、手首に振動セン サを取り付け、振動センサによって人の体動情報を取得し、人の一日の生活リズムで ある MCP (M [0076] According to the literature (1), the life rhythm of a person's sleep state and awake state usually has a periodicity that repeats in 24 hours. However, the rhythm of chronic fatigue syndrome patients loses their periodicity after intense exercise and deviates from the usual 24 hours. This tendency is more common in patients with chronic fatigue syndrome, which is difficult for healthy people to occur. Specifically, a vibration sensor is attached to the wrist, and human body movement information is acquired by a vibration sensor, and MCP (MCP (M
ean Circadian Period)を算出する。人が激しい運動をした後の MCP値は、健康な人 では 23. 86時間であるのに対し、慢性疲労症候群患者では 24. 20時間となることが わ力つている。被験者が激しい運動をした後の MCP値を求めることにより、被験者の 慢性疲労症候群の可能性を判定することが可能である。本発明では、解析プロダラ ムの一例として本 MCP値による判別方法を用いる。  ean Circadian Period). The MCP value after a person's intense exercise is 23.86 hours for a healthy person, compared to 24.20 hours for a patient with chronic fatigue syndrome. By determining the MCP value after the subject exercises violently, the possibility of the subject's chronic fatigue syndrome can be determined. In the present invention, the discrimination method based on the MCP value is used as an example of an analysis program.
[0077] 文献 (2)によると、健康な人は慢性疲労症候群患者に比べて昼夜の活動の差が顕 著であり、また、健康な人と慢性疲労症候群患者では活動の突発性にも差を生じる。 手首に振動センサを取り付け体動の情報を取得し、 WTNMM (Wavelet Transform Negative Modulus Maxima)法を用いて τを、あるいは DFA (Detrended Fluctuation Analysis)法を用いて aを計算した結果には、慢性疲労症候群患者と健常者の間に 明らかな数値差が生じる。これらの数値差により慢性疲労症候群患者と健常者との 判別を行うことが可能である。 [0077] According to Ref. (2), healthy people have a significant difference in day and night activities compared to patients with chronic fatigue syndrome, and healthy people and chronic fatigue syndrome patients also have a difference in sudden activity. Produce. A vibration sensor is attached to the wrist to acquire information on body movement, and τ is calculated using the WTNMM (Wavelet Transform Negative Modulus Maxima) method or a is calculated using the DFA (Detrended Fluctuation Analysis) method. Between syndrome patients and healthy individuals Clear numerical differences occur. It is possible to discriminate between patients with chronic fatigue syndrome and healthy individuals based on these numerical differences.
[0078] 以下に、 WTNMM法による τ、および DF Α法による αの計算方法を簡単に説明 する。 WTNMMは、変動のマルチフラクタル性を解析する手法であり、まず、以下の ようにウェーブレット変換を行う。 [0078] Hereinafter, a method for calculating τ by the WTNMM method and α by the DF Α method will be briefly described. WTNMM is a technique for analyzing the multifractal nature of fluctuations. First, wavelet transformation is performed as follows.
[0079] [数 1] [0079] [Equation 1]
Ty[f](b,a) = - J{f(t)y((t - b)/a)}dt Ty [f] (b, a) =-J {f (t) y ((t-b) / a)} dt
[0080] ここで、 f (t)は時刻 tにおけるゼロクロス値である。ゼロクロス値とは体動情報であり、 手首に取り付けた振動センサの AC成分を取り出し、 0. 01G以上の加速度が起こる 数をカウントした値である。このカウント値は、利用者が覚醒時にある時はその増加は 大きぐ逆に睡眠時では、その増加は非常に小さい、といった傾向を示す値ある。 Ψ ( X)は、マザ一ウェーブレットと呼ばれ、非特許文献 2においては、ガウス関数を 3回微 分した結果を使用している。具体的には以下の式 2である。 Here, f (t) is a zero cross value at time t. The zero cross value is body movement information, which is a value obtained by taking out the AC component of the vibration sensor attached to the wrist and counting the number of accelerations greater than 0.01G. This count value shows a tendency that the increase is large when the user is awake, whereas the increase is very small when the user is sleeping. Ψ (X) is called the mother-wavelet. In Non-Patent Document 2, the result of subdividing the Gaussian function three times is used. Specifically, it is the following formula 2.
[0081] [数 2] [0081] [Equation 2]
[0082] ΤΨ [f] (b, a)は、時刻 (t = b)における f (t)に含まれるある区間周波数 aの成分の 大きさを示す。 [0082] ΤΨ [f] (b, a) indicates the magnitude of the component of a certain interval frequency a included in f (t) at time (t = b).
式 1で得られた T¥ [f] (b, a)の中で、区間 minTで、 aT (く a)におけるウェーブレツ ト関数の谷を抽出し、和を取る。具体的には、後述する式 3のようになる。抽出した部 分の和を aの τ乗に比例すると仮定して、 τの値を近似により求める。(健常者と慢性 疲労症候群患者ではての値に明らかな数値差が生じるため、閾値を用いて、健常者 と慢性疲労症候群患者の判別に用いることができる。) In T ¥ [f] (b, a) obtained in Eq. 1, the valley of the wavelet function at a T ((a) is extracted in the interval minT, and the sum is taken. Specifically, it is as shown in Equation 3 below. Assuming that the sum of the extracted parts is proportional to the power of τ, find the value of τ by approximation. (Since there is a clear numerical difference between normal and chronic fatigue syndrome patients, threshold values can be used to distinguish between normal and chronic fatigue syndrome patients.)
ては関数 fに急な変化があるかないかを示す数値であり、 ての値が大きい場合、急 峻な変動があり、小さい場合は緩やかな変動であることを意味する。 [0083] [数 3] z(a)This is a numerical value indicating whether or not there is a sudden change in the function f. When all the values are large, there is a steep fluctuation, and when it is small, it means a gentle fluctuation. [0083] [Equation 3] z (a)
[0084] 一方、 DFAはフラクタル揺らぎのモデルであるフラクショナルブラウン運動の理論を 応用したものである。関数をあるタイムスケール nで分割すると、フラクショナルブラウ ン運動の時系列は、次のように表すことができる。 [0084] On the other hand, DFA is an application of the theory of fractional Brownian motion, which is a model of fractal fluctuation. If the function is divided by a certain time scale n, the time series of the fractional brown motion can be expressed as follows.
[0085] [数 4] [0085] [Equation 4]
[0086] ここで、〜は分布の一致を意味する。 F (n)は、振動データ(ゼロクロス値)の単位時 間あたりの累積値を求め、現在の単位時間の累積値力 過去の単位時間当たりの累 積平均値を引いた値である。この F (n)の分布力 の α乗の分布と一致すると仮定す る。 [0086] Here, "~" means distribution matching. F (n) is the value obtained by calculating the accumulated value per unit time of vibration data (zero cross value) and subtracting the accumulated average value per unit time in the current unit time. It is assumed that this distribution of F (n) coincides with the power of α.
[0087] ゼロクロス値の変動は、 α = 1. 5ではブラウン運動の変動を意味する。 αが 1. 5よ り小さい場合は、ゼロクロス値が過去に増加傾向があつたが現在は減少傾向がある 時、あるいは、過去に減少傾向があつたが現在は増加傾向をもつ時、のいずれかで あることを示している。 αが 1. 5より大きい場合は、ゼロクロス値は、過去および現在 も増加傾向にある時、あるいは過去に減少及び現在も減少傾向がある時、のいずれ かであることを示している。  [0087] The fluctuation of the zero cross value means the fluctuation of the Brownian motion when α = 1.5. When α is less than 1.5, either the zero-cross value has been increasing in the past but is currently decreasing, or when it has been decreasing in the past but is currently increasing. It shows that it is. If α is greater than 1.5, the zero-crossing value is either when the past and present are also increasing, or when the past is decreasing and also currently decreasing.
[0088] 以上のような、慢性疲労症候群患者と健常者の、客観的な数値による診断手法を 本発明の解析プログラムの一部に応用する。  [0088] The diagnostic method based on the objective numerical values of the chronic fatigue syndrome patient and the healthy person as described above is applied to a part of the analysis program of the present invention.
本発明の健康管理装置を慢性疲労症候群患者に適用した場合の実施例を、図 4 を用いて説明する。特に、生体の情報を収集するセンサとして振動センサ 301及び 温度センサ 302を使用した場合について、計測結果の解析方法、解析結果を基にし た病状の診断、及び問診方法を示す。  An embodiment in which the health management device of the present invention is applied to a patient with chronic fatigue syndrome will be described with reference to FIG. In particular, in the case where the vibration sensor 301 and the temperature sensor 302 are used as sensors for collecting biological information, the analysis method of the measurement result, the diagnosis of the medical condition based on the analysis result, and the inquiry method are shown.
[0089] 本実施例では、直ちに診断結果や変化した原因等を患者にフィードバックすること で、患者は気をつけるべき行動、次にとるべき行動、現状の症状等を認識できる。記 録された体動のデータとアンケート結果を後日医師にもって行くことで、頻繁に通院 しなくても医師は正しく患者の病状を知ることができる。 [0089] In this embodiment, the diagnosis result and the cause of the change are immediately fed back to the patient. Thus, the patient can recognize the action to be taken care of, the action to be taken next, the current symptoms, and the like. By taking the recorded body movement data and questionnaire results to a doctor at a later date, the doctor can correctly know the patient's medical condition without frequent visits.
[0090] 利用者は、図 4のように手首には振動センサ 301を、脇の下に温度センサ 302を装 着し、それぞれ体温情報と体動情報とを収集する。手首に取り付けた振動センサは 腕時計型である場合があり、現在手首での計測が一般的であるが、装着箇所は必要 に選択でき限定されない。  [0090] As shown in FIG. 4, the user wears a vibration sensor 301 on the wrist and a temperature sensor 302 on the armpit, and collects body temperature information and body motion information, respectively. The vibration sensor attached to the wrist may be a wristwatch type, and measurement with the wrist is common at present, but the wearing location can be selected as needed and is not limited.
各センサは無線通信機能を用いて、体温情報と体動情報を携帯情報端末 303に 転送する。各データを受信したとき、携帯情報端末は、解析プログラムを起動する。  Each sensor transfers body temperature information and body motion information to the portable information terminal 303 using a wireless communication function. When each data is received, the portable information terminal activates the analysis program.
[0091] つぎに、この解析プログラムの具体的な方法を以下に説明する。 Next, a specific method of this analysis program will be described below.
慢性疲労症候群の可能性があると判断する条件を以下 3つ設ける。  The following three conditions are established for determining the possibility of chronic fatigue syndrome.
1. 体温センサの計測結果から、微熱がある(37. 0°C以上)と判断された場合 1. When it is judged from the measurement result of the body temperature sensor that there is a slight fever (37.0 ° C or higher)
2. 過去の問診の結果から過去 3日以内に激しい運動をした場合で、かつ振動セン サの測定結果を非特許文献 1記載の計算方法で MCPを求め、その値が 24. 2時間 以上であった場合 2. Based on the results of past interviews, if you have been exercising vigorously within the past 3 days, and the vibration sensor measurement results are calculated using the calculation method described in Non-Patent Document 1, the value is 24.2 hours or more. If there is
3. 振動センサの測定結果を非特許文献 2記載の計算方法で、 WTNMMのて及 び DFAの αを求め、 τ力 . 9以下又は、 αが 1. 5以下であった場合  3. When the measurement result of the vibration sensor is calculated using the calculation method described in Non-Patent Document 2, α of WTNMM and DFA is obtained, and τ force is .9 or less or α is 1.5 or less
[0092] これら三つ条件のうち、二つ又は三つとも満たしている場合に、慢性疲労症候群の 疑いが高いと判断する。また、一つだけ又は一つも満たさない場合には、慢性疲労 症候群の疑 ヽは低 ヽと判断する。次に体調の悪化傾向や回復傾向の体調の変化を 診断するために、ある時刻 tにおける体調係数を m (t)とし、次のように定義する。  [0092] If two or three of these three conditions are satisfied, it is determined that the suspicion of chronic fatigue syndrome is high. If only one or none is satisfied, the suspicion of chronic fatigue syndrome is judged to be low. Next, in order to diagnose the physical condition deterioration tendency and recovery tendency, the physical condition coefficient at a certain time t is defined as m (t) and defined as follows.
[0093] 時刻 tにおけるセンサデータを解析し、上記の 3つの条件に対して、 [0093] The sensor data at time t is analyzed, and for the above three conditions,
三つ全ての条件を満たす時は m(t) =— 3とし、  When all three conditions are met, m (t) = — 3
二つの条件だけが満たされる時は m (t) =— 1とし、  When only two conditions are satisfied, m (t) = — 1
一つの条件だけが満たされる時は m (t) = 1とし、  When only one condition is met, m (t) = 1
あるいは一つの条件も満たさな 、時は m (t) = 3とする。  Or when one condition is not satisfied, m (t) = 3.
すなわち、ある時刻 tにおいて、 m (t) =— 3のとき、被験者は慢性疲労症候群の傾 向が非常に強ぐ逆に、 m (t) = 3であれば、慢性疲労症候群の傾向が少ないことを 意味する。 In other words, at a certain time t, when m (t) = —3, the subject has a very strong tendency for chronic fatigue syndrome. On the other hand, if m (t) = 3, the subject is less prone to chronic fatigue syndrome. That means.
[0094] また、時刻 tより前の時刻 (t- 1)の解析結果である体調係数 m (t— 1)を用い、 m (t ) -m (t- l)を計算する。 m (t) -m (t- 1) < 0の時、時間(t 1)のときと比べ時間 t では症状が悪ィ匕していると判断し、 m (t) -m (t- l) >0の時、症状が改善していると 判断する。  Further, m (t) −m (t−l) is calculated using the physical condition coefficient m (t−1) that is the analysis result at time (t−1) before time t. When m (t) -m (t- 1) <0, it is determined that the symptom is worse at time t than when time (t 1), and m (t) -m (t- l ) If> 0, judge that symptoms are improving.
[0095] 症状が変化しているかどうかを調べるだけであれば、 m (t) X m (t— 1)を計算し、こ の値が正の数であれば、時刻(t 1)と時刻 tでは症状は同じ傾向にあり、逆に負の 数であれば、現在症状は前の症状力 変化があると判断することができる。  [0095] If you just want to find out if the symptom is changing, calculate m (t) X m (t— 1), and if this value is a positive number, At t, the symptoms tend to be the same. Conversely, if the number is negative, it can be judged that the current symptom has a change in the previous symptom power.
[0096] また、最近の症状が悪い傾向にある患者に警告する必要がある場合、数時間前の 時刻(t i)から現在の時刻 tまでの体調係数の和∑ m (t-i)の和を求め、この値が ある閾値以下になる時に非常に症状が悪いと判断して、患者に警告することもできる  [0096] Also, when it is necessary to warn a patient whose recent symptoms tend to be bad, the sum of the physical condition coefficients from time (ti) several hours ago to the current time t is calculated. When this value falls below a certain threshold, it can be judged that the symptom is very bad and the patient can be warned.
[0097] 例えば、解析結果の過去 3回分と閾値に 7を用いて、症状の悪い状態が続いて いると判断する場合には、次の条件式を満たす時、利用者の症状は悪い状態が続 Vヽて 、ると半 IJ断することができる。 [0097] For example, if it is determined that a bad symptom continues using the past three analysis results and a threshold of 7, the user's symptom may be bad when the following conditional expression is satisfied: If you continue V, you can cut half IJ.
[0098] [数 5]  [0098] [Equation 5]
∑m(t - i) < - i=0 ∑m (t-i) <-i = 0
[0099] また、センサの情報を解析することにより、被験者が正しくセンサを体に装着してい るかどうかを検出することもできる。振動センサを例に取ると、体動がほとんどない場 合 (例えば、 30分のゼロクロス値が 10以下)、体を動力していないというよりはむしろ、 振動センサが体力 取り外された可能性があると判断できる。 [0099] Further, by analyzing sensor information, it is possible to detect whether or not the subject correctly wears the sensor on the body. Taking the vibration sensor as an example, if there is little body movement (for example, the zero cross value of 30 minutes is 10 or less), the vibration sensor may have been removed rather than not powering the body. It can be judged.
[0100] また、体温センサを例に取ると、体温が非常に低い (例えば、 35°C以下の)場合、 体温が本当に低 、と!/、うよりは体温センサを正しく体に設置されて!、な 、可能性があ ると半 lj断することができる。  [0100] Taking a temperature sensor as an example, if the body temperature is very low (for example, below 35 ° C), the body temperature is really low! ! If there is a possibility, I can cut half-lj.
[0101] いずれのセンサの場合も、センサが体力 外れている可能性がある場合、問診機 能、無線通信機能、およびアラームなどの利用者への通知機能を用いて、センサの 装着異常を利用者に確認する。 [0101] For any sensor, if there is a possibility that the sensor is out of strength, use the interrogation function, wireless communication function, and alarm notification function to the user, Check with the user for wearing abnormalities.
[0102] 利用者に正常な装着を促すことによって、装着状況の改善ができ、また、装着異常 でな 、ことが確かめられれば、センサの故障や利用者の真の体調の悪さを判別する ことも可能となり、さら〖こ、医師や健康'医療機関等本人以外に通知する場合は誤報 を減らすことちできる。  [0102] By prompting the user for normal wearing, the wearing situation can be improved, and if it is confirmed that the wearing is not abnormal, it is determined whether the sensor is faulty or the user's true physical condition is bad. It is also possible to reduce false alarms when notifying anyone other than Sarahko, doctors, health 'medical institutions, etc.
以上により、センサの計測精度や、解析及び診断の精度を高めることが可能となる  As described above, it becomes possible to improve the measurement accuracy of the sensor and the accuracy of analysis and diagnosis.
[0103] 次に、問診プログラムの実施例について説明する。 Next, an example of the inquiry program will be described.
本発明では、次の三つの場合に問診プログラムを起動する。問診プログラムが起動 され、利用者に問診 (アンケート)を促すために、センサ機器や携帯情報端末のァラ ーム機能や振動機能により利用者に問診する旨を通知する。  In the present invention, the inquiry program is started in the following three cases. An inquiry program is launched, and the user is notified of the inquiry through the alarm function or vibration function of the sensor device or personal digital assistant in order to prompt the user for an inquiry (questionnaire).
[0104] 1. 解析プログラムの結果による問診プログラムの起動  [0104] 1. Start of the inquiry program based on the result of the analysis program
前記の解析プログラムの実施形態により、体調の変化が見られた場合、すなわち m (t) X m (t— 1) < 0となった時に問診プログラムを起動する。あるいは、顕著な症状の 悪化傾向が判断された時、すなわち数時間前の時刻 (t-a)カゝら現在の時刻ほでの 体調係数の和∑m (t—a)が閾値を下回った時に問診プログラムを起動する。  According to the embodiment of the analysis program, when a change in physical condition is observed, that is, when m (t) X m (t−1) <0, the inquiry program is started. Or, when a significant tendency to worsen symptoms is determined, that is, when the sum of physical condition coefficients at the time (ta) several hours ago (t—a) falls below the threshold Start the program.
[0105] このような利用者へのアンケートは、頻繁に行った時には利用者が面倒に感じて正 しく回答しなくなるため、体調の変化や症状の悪化傾向のあった時でかつ過去 1時間 以内に問診を行わな力つた時に、問診プログラムを起動することも可能である。  [0105] Since questionnaires to users like this are frequently conducted, the users feel troublesome and do not answer correctly, so when there is a change in physical condition or a tendency to worsen symptoms and within the past hour It is also possible to start an inquiry program when the user is not able to make an inquiry.
[0106] 2. スケジュールによる問診プログラムの起動  [0106] 2. Start the interview program according to the schedule
予め設定された時刻に問診プログラムを起動する。この場合、一日数回程度行い、 設定された時刻になった時、携帯情報端末において自動的にプログラムが起動され る。問診の実行時刻は、例えば、起床直後、 9時、 14時、 20時、就寝前等とし、設定 された時刻になると問診プログラムが起動し、また利用者への通気機能により問診時 刻であることが通知される。  The inquiry program is started at a preset time. In this case, it is performed several times a day, and when the set time comes, the program is automatically started on the portable information terminal. The interview execution time is, for example, immediately after getting up, 9 o'clock, 14 o'clock, 20 o'clock, before going to bed, etc., and when the set time comes, the interview program is started, and the inquiry time is due to the ventilation function to the user Be notified.
[0107] 3. 利用者の意思による問診プログラムの起動  [0107] 3. Launching an inquiry program at the user's will
利用者の操作による問診プログラムの起動も可能とする。  It is also possible to start an inquiry program by user operation.
利用者が体調不良と認識したとき、あるいは利用者が体調に不安を感じた時に利 用者自らが操作し、問診プログラムを起動する。 Useful when the user recognizes that he / she is in poor health or when the user feels unwell The user himself / herself operates to start an inquiry program.
[0108] このような問診プログラム起動方法の目的は、利用者が体調不良を感じた時の、具 体的な症状、周囲の環境などを正確に記録し、医師との問診時に正確に伝えること ができるようにすることである。また、利用者が病気に対する不安を感じている時には 、センサデータの解析結果と問診結果の比較から、利用者に状況を知らせることで不 安を解消することである。  [0108] The purpose of such an inquiry program activation method is to accurately record the specific symptoms and surrounding environment when the user feels unwell, and to accurately convey the information during an interview with a doctor. Is to be able to. Also, when the user feels anxiety about the disease, it is to resolve the insecurity by notifying the user of the situation by comparing the analysis result of the sensor data and the interview result.
[0109] 問診 (利用者へのアンケート)の内容は、利用者の主観的情報と環境情報を得るた めの質問を行う。以下にその例を示す。  [0109] The contents of the inquiry (questionnaire to users) are questions for obtaining the subjective information and environmental information of the users. An example is shown below.
[0110] 1. 利用者の行動や周辺の状況に関するアンケート  [0110] 1. Questionnaire about user behavior and surrounding situation
〇今どこに!/、ますか(自宅、学校、乗り物、その他)  〇 Where is it now? /, Masashi (home, school, vehicle, etc.)
〇今何をしています力 (立っている、歩いている、座っている、横になつている) 〇食事の内容  〇 What are you doing now (Standing, Walking, Sitting, Lying) 〇 Meal contents
〇利用者の認識して 、る状態として、くつろ 、で 、るか緊張して 、るか  〇 Whether the user recognizes and feels relaxed, relaxed, or nervous
[0111] これらの利用者の行動や周辺の状況に関するアンケートは、体調が良い時、あるい は悪い時に利用者はどのような環境に居たのかを、統計的に計ることができる。 [0111] These questionnaires on user behavior and surrounding conditions can statistically measure the environment in which the user was in good or bad condition.
[0112] 2. 利用者の症状や気分関するアンケート  [0112] 2. Questionnaire regarding user symptoms and mood
〇症状に関しするアンケート  * Questionnaire about symptom
集中できない、疲労感、頭痛'頭重、のどの痛み、からだの痛み、腹痛'吐気、眩暈 等〇気分に関するアンケート  Inability to concentrate, fatigue, headache 'headache, sore throat, body pain, abdominal pain' nausea, dizziness, etc.
はつらつとした気分力、暗い気分か、気が力りである力、うれしいか、嫌な気分か、 不安な気分か、楽しい、沈んでいる、心配、など  Feelings of violence, darkness, power of strength, joyful, disgusting, anxious, fun, sinking, worry, etc.
[0113] これらのアンケートに対する回答方法は、そのような気分かどうかを、是か非かで回 答するだけではなぐどちらに偏っているかの程度を、例えば 20段階で回答する形 式をとることちでさる。 [0113] The response method for these questionnaires should be in the form of answering in 20 steps, for example, whether the mood is biased rather than just answering the answer. Chisaru
[0114] 以上のようなアンケート結果は、慢性疲労症候群による体調の悪化かどうかを判断 する要素として用いることができる。  [0114] The questionnaire results as described above can be used as an element for determining whether the physical condition is deteriorated due to chronic fatigue syndrome.
例えば、解析プログラムの結果、体調係数 m(t)が低ぐすなわち慢性疲労症候群 の症状が高ぐかつアンケート結果力 疲労感が強いという結果が得られた場合、利 用者は慢性疲労症候群の傾向が強いことがより正確に判断される。 For example, if the analysis program shows that the physical condition coefficient m (t) is low, that is, the symptoms of chronic fatigue syndrome are high, and the questionnaire results power Users are more accurately judged to have a strong tendency for chronic fatigue syndrome.
[0115] 逆に、 m (t)が高く慢性疲労症候群の症状が低いのにもかかわらず、アンケートで 疲労感が強いという結果が出た場合には、慢性疲労症候群以外の疾病である可能 性ある。上記のように、アンケート結果を用いて、より正確な診断を行うことが可能であ る。  [0115] On the other hand, if the questionnaire shows a strong feeling of fatigue even though m (t) is high and the symptoms of chronic fatigue syndrome are low, it may be a disease other than chronic fatigue syndrome. is there. As described above, more accurate diagnosis can be performed using the questionnaire results.
[0116] 問診の終了後、脳機能試験プログラムを行っても良い。一般に脳の機能を調べる C PTと呼ばれるテストがある。脳機能試験プログラムは、これにゲーム性を持たせ形態 で、利用者に実施する。  [0116] After completion of the interview, a brain function test program may be performed. There is a test called CPT that tests brain function in general. The brain function test program is implemented for users in a form that gives it a game character.
[0117] 以下に、本発明の脳機能試験の例を示す。  [0117] Examples of the brain function test of the present invention are shown below.
★、♦、▲のキャラクターが画面に一秒ごとに表示される。例えば★ ▲が出た場 合に、特定のボタンを押し、♦が出た場合にはボタンを押さないというルールを設け る。キャラクターが 1秒間隔で 30秒間ランダムに表示され、利用者は表示されたキヤ ラタターを認知し、ボタンを押すか押さないかを判断する。利用者の回答の正解率な どを評価する。このテスト結果が悪い場合は、利用者は脳機能に何ら支障がある可 能性があると判断できる。  ★, ♦ and ▲ characters are displayed on the screen every second. For example, a rule is set so that a specific button is pressed when ★ ▲ appears and no button is pressed when ♦ appears. Characters are displayed randomly for 30 seconds at 1-second intervals, and the user recognizes the displayed character and determines whether or not to press the button. Evaluate the accuracy rate of user responses. If this test result is bad, the user can determine that there may be any problem with brain function.
[0118] 次に、診断プログラムでは、センサの計測データの解析結果、問診結果、及び脳機 能試験の結果を総合的に判断し、例えば、それぞれの結果に点数として換算し、合 計点数を用いて、総合的診断を行う。診断結果は、利用者に即座に通知される、医 師あるいは家族に公衆回線を介して通知される、あるいは携帯情報端末に記録され 後日病院での健康診断に用いることができる。  [0118] Next, the diagnosis program comprehensively determines the analysis results of the sensor measurement data, the interview results, and the results of the brain function test. For example, each result is converted into a score, and the total score is calculated. Use for comprehensive diagnosis. The diagnosis result is notified immediately to the user, to the doctor or family via a public line, or recorded on a portable information terminal and can be used for a health check at a later date.
[0119] 利用者への通知の例を以下に示す。  [0119] An example of notification to the user is shown below.
診断結果から慢性疲労症候群の症状が悪!ヽと判断された場合、「症状が悪くなつ ています。数日前に激しい運動をしたことも原因でしょう。無理な運動は避けてくださ い。」など、症状、原因、改善方法を通知する。また、診断結果が改善傾向にあれば 、「調子がだいぶ良くなつてきたようですね。完治までもう少しです。」、症状の判断付 力ない場合などでは、「風邪などの可能性もあります。必要があれば病院で診察する ことをお勧めします。」などを通知する。  If the diagnosis shows that the symptoms of chronic fatigue syndrome are bad! ヽ, “The symptoms are getting worse. It may be due to intense exercise a few days ago. Avoid excessive exercise.” Inform about symptoms, causes, and how to improve. Also, if the diagnosis results are improving, “It seems that the condition has been getting better. It's a little more until the cure is complete.” If you are unable to determine the symptoms, “There is a possibility of a cold. If there is, we recommend that you see a doctor. ”
[0120] 以上のように、症状が悪 ヽ場合にはその症状の原因が何にあるのかの解析結果も 含めて利用者に通知し、また利用者に症状を改善するために何をすべきかを通知す ることちでさる。 [0120] As described above, if the symptom is worse, the analysis result of the cause of the symptom is Inform users and include what they should do to improve their symptoms.
[0121] このように、本発明は、リアルタイムにオンサイトで、計測されたデータを解析し、問 診を行い、その結果を、利用者に知らせることによって、病気の症状が悪化すること を抑制し、症状の改善の助けとなる。  [0121] As described above, the present invention analyzes the measured data on-site in real time, conducts an inquiry, and informs the user of the result, thereby suppressing the worsening of the symptom of the disease. And help to improve symptoms.
[0122] 以上に、センサの計測データの解析方法、問診、脳機能試験プログラムの内容、利 用者へ通知するメッセージの例を示した力 この内容に限ることはない。特に、慢性 疲労症候群の症状が悪!、兆候か良!、兆候かを判断する方法は、他の方法で実施す ることち可會である。  [0122] As described above, the analysis method of sensor measurement data, interviews, the contents of the brain function test program, and the power of examples of messages to be notified to the user are not limited to these contents. In particular, the method of determining whether symptoms of chronic fatigue syndrome are bad !, signs or good !, signs can be done by other methods.
[0123] また、慢性疲労症候群に関しての解析プログラム、問診プログラムの例を示した力 本発明は他の病気に関しても同様にデータ解析と問診内容から、より正確な診断を 行う携帯健康管理装置として実施することも可能である。  [0123] In addition, the ability to show an example of an analysis program and an inquiry program for chronic fatigue syndrome The present invention is also implemented as a portable health management device that makes a more accurate diagnosis from data analysis and interview contents for other diseases as well. It is also possible to do.
[0124] また、今回は慢性疲労症候群に本発明の健康管理装置を適用する場合に、生体 情報を収集するセンサのみを用いた例を示したが、利用者の周囲の環境情報を収集 するセンサを用いて、さらに正確な診断が可能となる。  [0124] In addition, in this example, when the health management device of the present invention is applied to chronic fatigue syndrome, an example using only a sensor that collects biological information has been shown, but a sensor that collects environmental information around the user. Using this makes it possible to make a more accurate diagnosis.
[0125] 例えば、さらに環境センサとして照度センサを加えた時は、昼夜の活動をより明確 に区別でき、また睡眠時の体動等力も睡眠の深さ等を計測でき、自律神経の状態も 加えて判断できるため、より正確で総合的な診断が可能となる。同様に、音センサを 用い利用者周囲の雑音を計測すれば、雑踏環境ある!ヽは静かな環境に利用者が居 る時における身体活動の違いを判別できるため、抑鬱状態をより正確に把握できる。 また、相手と会話を続けることができるか、それともすぐに会話が終わるかなどの、会 話のレスポンスの程度が判断できるため、倦怠感をより正確に判断できる。  [0125] For example, when an illuminance sensor is added as an environmental sensor, daytime and nighttime activities can be more clearly distinguished, body movement and other forces during sleep can be measured, sleep depth, and the state of autonomic nerves can also be added. Therefore, a more accurate and comprehensive diagnosis becomes possible. Similarly, if the noise around the user is measured using a sound sensor, there is a hustle and bustle! ヽ can discern the difference in physical activity when the user is in a quiet environment, so the depression state can be grasped more accurately it can. In addition, since it is possible to determine the degree of response of the conversation, such as whether the conversation can be continued with the other party or whether the conversation ends immediately, the fatigue can be determined more accurately.
[0126] 次に、環境センサを用いた本発明の実施例として、化学物質過敏症に対する健康 管理装置の例を示す。  [0126] Next, as an embodiment of the present invention using an environmental sensor, an example of a health management device for chemical hypersensitivity will be shown.
シックハウス症候群に代表されるような化学物質過敏症は、化学物質が患者に暴露 されなければ、患者の体調は普通の状態と全く変わらない。そのため、化学物質過 敏症患者が医師の診断を受ける場合、その場で症状の原因となる化学物質が暴露 されるわけではないため、診断が困難となる。したがって、化学物質過敏症による症 状があり、発作が起き、患者が苦しんでいたとしても、医師はその状態を診断できず、 医師は患者に確認するのみで診断を下さなければならない。 Chemical hypersensitivity, as represented by sick house syndrome, does not change the patient's physical condition at all unless chemicals are exposed to the patient. Therefore, when a patient with chemical sensitivity is diagnosed by a doctor, the diagnosis is difficult because the chemical substance that causes the symptoms is not exposed on the spot. Therefore, symptoms caused by chemical hypersensitivity Even if there are symptoms, seizures, and the patient suffers, the doctor cannot diagnose the condition, and the doctor must make a diagnosis only by checking with the patient.
[0127] また、患者自身も発作が激しくなつて力もでは、動くことも困難になり、状態の悪ィ匕 に苦しむ結果となる。そこで、本発明では、上記の問題を解決する健康管理装置を 提供することが可能である。  [0127] In addition, the patient himself / herself has a severe seizure, and with force, it becomes difficult to move, resulting in suffering from a bad condition. Therefore, in the present invention, it is possible to provide a health management device that solves the above problems.
[0128] 本発明による健康管理装置を化学物質過敏症の健康管理に用いた例を示す。 [0128] An example in which the health management device according to the present invention is used for health management of chemical substance hypersensitivity will be described.
化学物質過敏症に対する健康管理装置は、ガス濃度を検出する環境センサと、前 記慢性疲労症候群の例と同様の問診機能等を有する携帯情報端末により構成され る。  The health management device for chemical substance hypersensitivity is composed of an environmental sensor that detects the gas concentration and a portable information terminal that has the same inquiry function as the example of chronic fatigue syndrome.
問診プログラムは、ガスセンサによりガス濃度が閾値を超えたときに起動する、あるい は利用者が体調の変化を感じたときなどに利用者自身が起動する、あるいはスケジ ユーリングにより起動することが可能である。  The inquiry program can be started when the gas concentration exceeds the threshold value by the gas sensor, or when the user feels a change in physical condition, or the user can start the interview program. It is.
[0129] ガスが暴露された時と通常の状態の時とで、化学物質過敏症患者と健常者に問診 を行った場合に顕著な差が得られることを確認している。図 5及び図 6は、化学物質 過敏症患者 13名と、健常者 12名の実験結果である。図 5は、患者が体調の変化を 起こすガスの種類と濃度を示す。また、図 6は患者に、動悸や吐き気などの身体症状 と、不安などの気分とに関する問診を行い、ガス暴露時の症状が出ている状態と通 常状態とを比較し、問診結果に有意な差が認められた問診内容を示している。図 6か ら、これらの問診を行うことによって、患者に化学物質過敏症の症状がでている力否 かを判断することができることがわかる。また、図 5から、化学物質過敏症患者は、健 常者とは全く異なり、非常に低いガス濃度で症状を起こすことがわかる。図 5のガス濃 度の結果と、図 6の問診内容の結果を、本発明のガスセンサの通常と異なる値の判 定、及び問診内容として採用する。  [0129] It has been confirmed that a significant difference can be obtained when a patient is exposed to a chemical hypersensitivity and a healthy person when exposed to gas and under normal conditions. Figures 5 and 6 show the experimental results of 13 patients with chemical sensitivity and 12 healthy subjects. Figure 5 shows the types and concentrations of gases that cause the patient to change their physical condition. Figure 6 also shows the patient's physical symptoms such as palpitation and nausea and anxiety and other moods, comparing the symptoms of gas exposure and normal conditions, and the results are significant. It shows the contents of the interview where a significant difference was observed. Figure 6 shows that by conducting these interviews, it is possible to determine whether or not a patient has symptoms of chemical hypersensitivity. In addition, Figure 5 shows that patients with chemical hypersensitivity develop symptoms at very low gas concentrations, which is completely different from normal subjects. The result of the gas concentration in FIG. 5 and the result of the inquiry content in FIG. 6 are adopted as the judgment of the value different from the normal value and the inquiry content of the gas sensor of the present invention.
[0130] そこで、本発明では、ガス濃度を比較的低 、濃度で検出し (ホルムアルデヒドでは、 例えば lOppbなど)、利用者が発作を起こす前の利用者自らが回答することが可能 な状態で、問診プログラムを起動し、問診内容として図 6記載の身体症状と気分に関 する質問を行う。問診の回答結果から、診断プログラムは化学物質過敏症の兆候有 りか無しかを判断し、化学物質過敏症の兆候有り判断された場合、利用者にそのガ ス濃度を通知し、また、その場所力もの回避を勧める。 [0130] Therefore, in the present invention, the gas concentration is detected at a relatively low concentration (in formaldehyde, for example, lOppb), and the user himself / herself can make an answer before the seizure occurs. Start the interview program and ask questions about the physical symptoms and mood shown in Figure 6 as the contents of the interview. Based on the results of the interview, the diagnostic program determines whether or not there is any sign of chemical sensitivity. It is advised to avoid the power of the place.
[0131] 以上のように、化学物質過敏症の症状 (発作)でる前の兆候の段階で問診を行 、、 発作が起こる前の利用者自身が行動できる段階で前兆を検知することができるため、 患者は速やかにその場を立ち去り、症状を軽減する行動 (例えば、薬を服用するなど )をとることができる。  [0131] As mentioned above, because we are interviewed at the stage of signs before chemical hypersensitivity symptoms (seizures), it is possible to detect the signs at the stage where users themselves can act before the seizure occurs The patient can quickly leave and take action to relieve symptoms (eg, taking medication).
[0132] また、化学物質過敏症の症状を客観的に診断でき、症状の原因となるガスの種類、 兆候や症状の発生するガス濃度が判断できるため、医師は適切な診断、処方が可 能となる。  [0132] In addition, the symptoms of chemical hypersensitivity can be objectively diagnosed, and the type of gas that causes the symptoms and the gas concentration at which signs and symptoms occur can be determined, allowing doctors to make appropriate diagnoses and prescriptions. It becomes.
本実施例では、ガスセンサとして、携行しやすい自動ガス検知器や検知菅を用い たが、昨今技術革新が進み小型化されている IRを用いたガスセンサや、超小型ガス クロマトグラフィーを用いてもょ 、。  In this example, an easy-to-carry automatic gas detector and detection rod were used as the gas sensor. However, a gas sensor using IR, which has been downsized due to recent technological innovation, and ultra-small gas chromatography may be used. ,.
[0133] また、化学物質過敏症患者は、日中だけでなく夜間でも、心拍変動や身体活動に 異常がみとめられるため、ガスセンサ以外に、心拍計や振動センサを備える健康管 理装置により、症状の兆候診断をさらに正確に行うことも可能である。 [0133] In addition, because patients with hypersensitivity to chemicals have abnormalities in heart rate variability and physical activity not only during the day but also at night, a health management device equipped with a heart rate monitor and vibration sensor in addition to the gas sensor is It is also possible to more accurately perform the symptom diagnosis.

Claims

請求の範囲 The scope of the claims
[1] 生体情報または生体の周囲の環境情報を計測するセンサと、  [1] A sensor that measures biological information or environmental information around the living body,
前記センサの計測結果を解析する解析手段と、  An analysis means for analyzing the measurement result of the sensor;
利用者に質問を行い、回答を入力させる問診手段と、  Interrogation means to ask users questions and input answers,
前記解析手段の解析結果と前記問診手段の問診結果とに基づいて生体の状態を 判断する診断手段と、  Diagnostic means for judging the state of the living body based on the analysis result of the analysis means and the inquiry result of the inquiry means;
前記診断手段が判断する生体の状態に基づいて情報を通知する通知手段と、 を備えることを特徴とする健康管理装置。  A health management device comprising: notification means for notifying information based on a state of a living body determined by the diagnosis means.
[2] 請求項 1記載の健康管理装置において、  [2] In the health care device according to claim 1,
センサ部分は装置本体とは分離可能であり、  The sensor part is separable from the device body,
センサ出力と本体との間でセンサ計測結果データの通信を行う通信手段を有する ことを特徴とする健康管理装置。  A health management device comprising communication means for communicating sensor measurement result data between a sensor output and a main body.
[3] 請求項 1記載の健康管理装置において、 [3] In the health care device according to claim 1,
携帯電話または携帯端末であることを特徴する健康管理装置。  A health management device characterized by being a mobile phone or a mobile terminal.
[4] 請求項 1記載の健康管理装置において、 [4] The health care device according to claim 1,
前記解析手段、前記問診手段、前記診断手段、および前記通知手段を含む装置 本体と前記センサとは分離可能であり、  The apparatus main body including the analysis means, the inquiry means, the diagnosis means, and the notification means can be separated from the sensor,
前記センサと前記装置本体との間でセンサ計測結果の通信を行うセンサ通信手段 を有することを特徴とする健康管理装置。  A health management apparatus comprising: a sensor communication unit that communicates sensor measurement results between the sensor and the apparatus main body.
[5] 請求項 1記載の健康管理装置において、 [5] The health management device according to claim 1,
情報を出力する出力デバイスをさらに備え、  An output device for outputting information;
前記通知手段は、前記出力デバイスにより情報を出力することを特徴とする健康管 理装置。  The health management apparatus, wherein the notification means outputs information by the output device.
[6] 請求項 1記載の健康管理装置において、  [6] In the health care device according to claim 1,
他の装置と通信する外部装置通信手段を備え、  Comprising external device communication means for communicating with other devices;
前記通知手段は、前記外部装置通信手段により情報を他の装置に情報を通知す ることを特徴とする健康管理装置。  The health management device, wherein the notification means notifies the information to another device by the external device communication means.
[7] 請求項 1記載の健康管理装置において、 前記問診手段は、前記解析手段の解析結果が所定の条件を満たした場合に質問 を行うことを特徴とする健康管理装置。 [7] The health care device according to claim 1, The health management apparatus, wherein the inquiry means makes an inquiry when an analysis result of the analysis means satisfies a predetermined condition.
[8] 請求項 1記載の健康管理装置において、  [8] The health care device according to claim 1,
前記問診手段は、あら力じめ定められたスケジュールに基づいて質問を行うことを 特徴とする健康管理装置。  The health management apparatus characterized in that the inquiry means asks questions based on a predetermined schedule.
[9] 請求項 1記載の健康管理装置において、 [9] The health management device according to claim 1,
前記通知手段は、生体の症状が生じた原因情報を通知することを特徴とする健康 管理装置。  The health management device, wherein the notification means notifies the cause information of the occurrence of a biological symptom.
[10] 請求項 1記載の健康管理装置において、  [10] The health care device according to claim 1,
前記通知手段は、生体の症状を改善するための改善情報を通知することを特徴と する健康管理装置。  The health management apparatus characterized in that the notification means notifies improvement information for improving symptoms of a living body.
[11] 請求項 9記載の健康管理装置において、 [11] The health management device according to claim 9,
前記改善情報は、少なくとも投薬の種類、投薬の使用量、または投薬の時刻のい ずれかを含むことを特徴とする健康管理装置。  The health management device, wherein the improvement information includes at least one of a medication type, a medication usage amount, and a medication time.
[12] 請求項 1記載の健康管理装置において、 [12] The health care device according to claim 1,
前記診断手段は、前記解析手段の解析結果と前記問診手段の問診結果とをそれ ぞれ点数化し、前記解析結果の点数と問診結果の点数との加算値に基づ 、て生体 の状態を判断することを特徴とする健康管理装置。  The diagnostic means scores each of the analysis result of the analysis means and the inquiry result of the inquiry means, and determines the state of the living body based on the added value of the score of the analysis result and the score of the inquiry result A health management device characterized by:
[13] 請求項 1記載の健康管理装置において、 [13] The health care device according to claim 1,
前記解析手段は、前記センサの現在の計測値と過去の計測値とに基づ!、て解析 結果を生成することを特徴とする健康管理装置。  The health management device, wherein the analysis means generates an analysis result based on a current measurement value and a past measurement value of the sensor.
[14] 請求項 1記載の健康管理装置において、 [14] The health care device according to claim 1,
前記解析手段の解析結果に基づいて前記センサの設置の異常を通知する異常通 知手段を備えることを特徴とする健康管理装置。  A health management apparatus comprising an abnormality notification means for notifying an abnormality in the installation of the sensor based on an analysis result of the analysis means.
[15] 請求項 1記載の健康管理装置において、 [15] The health care device according to claim 1,
生体の反応を試験する反応試験手段を備え、  Equipped with a reaction test means for testing the reaction of a living body,
前記反応試験手段による反応結果に基づき、前記問診結果の妥当性を判断するこ とを特徴とする健康管塩装置。 A health tube salt apparatus, wherein the validity of the inquiry result is judged based on a reaction result obtained by the reaction test means.
[16] 請求項 1記載の健康管理装置において、 [16] The health care device according to claim 1,
前記センサは生体の振動を検出する振動センサを含み、  The sensor includes a vibration sensor for detecting vibration of a living body,
前記解析手段は、前記振動センサで検出した過去の振動の周期性に対する現在 の振動の周期性のずれを解析し、  The analysis means analyzes the deviation of the periodicity of the current vibration from the periodicity of the past vibration detected by the vibration sensor,
前記診断手段は、前記解析手段の解析結果と前記問診手段の問診結果とに基づ いて生体の心身症に関する状態を判断することを特徴とする健康管理装置。  The health management apparatus, wherein the diagnosis unit determines a state related to psychosomatic disease of a living body based on an analysis result of the analysis unit and an inquiry result of the inquiry unit.
[17] 請求項 1記載の健康管理装置において、 [17] The health care device according to claim 1,
前記センサは生体の体温を検出する体温センサを含み、  The sensor includes a body temperature sensor for detecting the body temperature of a living body,
前記解析手段は、前記体温センサで検出した体温があらかじめ定められた値を越 えているカゝ否かを解析し、  The analyzing means analyzes whether the body temperature detected by the body temperature sensor exceeds a predetermined value;
前記診断手段は、前記解析手段の解析結果と前記問診手段の問診結果とに基づ いて生体の心身症に関する状態を判断することを特徴とする健康管理装置。  The health management apparatus, wherein the diagnosis unit determines a state related to psychosomatic disease of a living body based on an analysis result of the analysis unit and an inquiry result of the inquiry unit.
[18] 請求項 1記載の健康管理装置において、 [18] The health care device according to claim 1,
前記センサは、生体の振動を検出する振動センサ、および、生体の体温を検出す る体温センサを含み、  The sensor includes a vibration sensor that detects a vibration of a living body, and a body temperature sensor that detects a body temperature of the living body,
前記解析手段は、前記振動を検出する振動センサで検出した過去の振動の周期 性に対する現在の振動の周期性のずれ、および、前記体温センサで検出した体温 があらカゝじめ定められた値を越えているカゝ否カゝ、を解析し、  The analyzing means includes a deviation of a current vibration periodicity from a past vibration periodicity detected by the vibration sensor that detects the vibration, and a body temperature detected by the body temperature sensor. Analyzing whether or not the key is over,
前記診断手段は、前記解析手段の解析結果と前記問診手段の問診結果とに基づ いて生体の心身症に関する状態を判断することを特徴とする健康管理装置。  The health management apparatus, wherein the diagnosis unit determines a state related to psychosomatic disease of a living body based on an analysis result of the analysis unit and an inquiry result of the inquiry unit.
[19] 請求項 1記載の健康管理装置において、 [19] The health care device according to claim 1,
前記センサは、ガス濃度を検出するガスセンサを含み、  The sensor includes a gas sensor for detecting a gas concentration,
前記解析手段は、前記ガスセンサで検出したガス濃度があらカゝじめ定められた値を 越えているカゝ否かを解析し、  The analyzing means analyzes whether the gas concentration detected by the gas sensor exceeds a predetermined value;
前記診断手段は、前記解析手段の解析結果と前記問診手段の問診結果とに基づ いて生体の化学物質過敏症に関する状態を判断することを特徴とする健康管理装 置。  The health management device, wherein the diagnosis means determines a state related to chemical hypersensitivity in a living body based on an analysis result of the analysis means and an inquiry result of the inquiry means.
[20] 請求項 19記載の健康管理装置において、 前記通知手段は、当該ガスセンサの設置された位置力 の退去を促すメッセージ を通知することを特徴とする健康管理装置。 [20] The health care device according to claim 19, The health management device, wherein the notification means notifies a message prompting the user to move away the position force where the gas sensor is installed.
[21] 請求項 1記載の健康管理装置において、  [21] The health care device according to claim 1,
前記センサは生体の振動を検出する振動センサを含み、  The sensor includes a vibration sensor for detecting vibration of a living body,
前記解析手段は、前記振動センサで検出した振動の周期性に基づき 1日の生活リ ズムを取得し、取得した前記 1日の生活リズムに基づき解析緒果を生成し、  The analysis means acquires a daily rhythm based on the periodicity of vibration detected by the vibration sensor, generates an analysis result based on the acquired daily rhythm,
前記診断手段は、前記解析手段の解析席発と前記問診手段の問診結果とに基づ いて生体の慢性疲労症候群に関する状態を判断することを特徴とする健康管理装 置。  The health management device, wherein the diagnosis means determines a state related to chronic fatigue syndrome of a living body based on an analysis request of the analysis means and an inquiry result of the inquiry means.
[22] 請求項 21記載の健康管理装置において、  [22] The health care device according to claim 21,
前記センサは、照度を検出する照度センサを含み、  The sensor includes an illuminance sensor that detects illuminance,
前記解析手段は、前記照度センサで検出した照度に基づ!ヽて昼夜判断情報を生 成し、前記振動センサで検出した振動の周期性と前記昼夜情報とに基づき 1日の生 活リズムを取得することを特徴とする健康管理装置。  The analysis means generates day / night judgment information based on the illuminance detected by the illuminance sensor, and calculates a daily rhythm based on the periodicity of vibration detected by the vibration sensor and the day / night information. A health management device characterized by acquiring.
[23] 請求項 1記載の健康管理装置において、 [23] The health management device according to claim 1,
振動または脈拍または心拍または体温のうち、少なくとも一つ以上を計測するセン サを用いて、ダイエットまたは食事療法に関する健康管理を行うことを特徴とする健 康管理装置。  A health management device that performs health management related to diet or diet using a sensor that measures at least one of vibration, pulse, heart rate, and body temperature.
[24] 請求項 1記載の健康管理装置において、 [24] The health care device according to claim 1,
振動または発話のうち少なくとも一つ以上の生体情報を計測するセンサを用いて、 介護予防に関する健康管理を行うことを特徴とする健康管理装置。  A health management device that performs health management related to care prevention using a sensor that measures at least one biological information of vibration or speech.
[25] 請求項 1記載の健康管理装置において、 [25] The health care device according to claim 1,
振動または脈拍または心拍または呼吸のうち、少なくとも一つ以上の生体情報を計 測するセンサを用いて、無呼吸症候群に関する健康管理を行うことを特徴とする健康 管理装置。  A health management device that performs health management related to apnea syndrome using a sensor that measures at least one biological information of vibration, pulse, heartbeat, or respiration.
[26] 請求項 1記載の健康管理装置において、  [26] The health care device according to claim 1,
振動または脈拍または心拍または発話のうち、少なくとも一つ以上の生体情報を計 測するセンサを用いて、痴呆症に関する健康管理を行うことを特徴とする健康管理装 置。 A health management device characterized by performing health management related to dementia using a sensor that measures at least one biological information of vibration, pulse, heart rate, or speech. Place.
[27] 請求項 1記載の健康管理装置において、  [27] The health care device according to claim 1,
振動または脈拍または心拍のうち、少なくとも一つ以上の生体情報を計測するセン サを用いて、パーキンソン病に関する健康管理を行うことを特徴とする健康管理装置  A health management device for performing health management on Parkinson's disease using a sensor that measures at least one biological information of vibration, pulse, or heart rate
[28] 請求項 1記載の健康管理装置において、 [28] The health care device according to claim 1,
振動または脈拍または心拍または体温または発話のうち、少なくとも一つ以上の生 体情報を計測するセンサを用いて、脳卒中に関する健康管理を行うことを特徴とする 健康管理装置。  A health management device for performing health management related to stroke using a sensor that measures at least one of biological information of vibration, pulse, heart rate, body temperature, or speech.
[29] 請求項 1記載の健康管理装置において、 [29] The health care device according to claim 1,
脈拍または心拍または体温のうち、少なくとも一つ以上の生体情報と免疫に関する 生体情報を計測するセンサを用いて、精神障害に関する健康管理を行うことを特徴 とする健康管理装置。  A health management device that performs health management related to mental disorders using a sensor that measures at least one of biological information and biological information related to immunity among pulse, heart rate, or body temperature.
[30] 生体情報または生体の周囲の環境情報を計測するセンサの計測結果を解析する 第 1のステップと、  [30] a first step of analyzing a measurement result of a sensor that measures biological information or environmental information around the living body;
利用者に質問を行い、回答を入力させる第 2のステップと、  A second step of asking the user questions and entering answers,
前記第 1のステップの解析結果と前記第 2のステップの問診結果とに基づ!/、て生体 の状態を判断する第 3のステップと、  Based on the analysis result of the first step and the inquiry result of the second step! /, A third step of determining the state of the living body,
前記第 3のステップが判断する生体の状態に基づいで備報を通知する第 4のステツ プと、  A fourth step of notifying a bulletin based on the biological condition determined by the third step;
をコンピュータに実行させることを特徴とする健康管理プログラム。  A health management program characterized by causing a computer to execute.
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