JP2007212407A - Non-heated deep body thermometer and deep body temperature measuring device using the same - Google Patents
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Abstract
【課題】非侵襲的に且つヒータを用いずして体の深部の体温を高精度に測定することにある。
【解決手段】体表面に接触する測定面1a側から順に第1の温度センサと第2の温度センサとを具えるとともに、それら第1の温度センサと第2の温度センサとの間に断熱材4を具える非加熱型の深部体温計において、前記第1の温度センサ2−1と前記第2の温度センサ3−1との組と、前記第1の温度センサ2−2と前記第2の温度センサ3−2との組との少なくとも二組の温度センサを具え、前記第1の温度センサと前記第2の温度センサとの組毎に、それら第1の温度センサと第2の温度センサとの間の前記断熱材4の熱抵抗値Kが異なることを特徴とする、非加熱型深部体温計である。
【選択図】図3An object of the present invention is to measure a body temperature of a deep part of a body with high accuracy non-invasively and without using a heater.
A first temperature sensor and a second temperature sensor are provided in order from a measurement surface 1a side in contact with a body surface, and a heat insulating material is provided between the first temperature sensor and the second temperature sensor. 4, a set of the first temperature sensor 2-1 and the second temperature sensor 3-1, the first temperature sensor 2-2, and the second temperature sensor 3-1. A pair of temperature sensors 3-2 and at least two sets of temperature sensors, and the first temperature sensor and the second temperature sensor for each set of the first temperature sensor and the second temperature sensor; The heat resistance value K of the heat insulating material 4 between is different from that of the non-heating type deep thermometer.
[Selection] Figure 3
Description
この発明は、熱流を補償するヒータを用いずに体の深部の体温を測定する非加熱型深部体温計およびそれを用いた深部体温測定装置に関するものである。 The present invention relates to a non-heating type depth thermometer that measures a body temperature in a deep part of a body without using a heater that compensates for heat flow, and a depth body temperature measuring apparatus using the same.
体の深部の体温を測定する従来の装置としては、1971年にFoxとSolmanが開発した深部体温測定装置が知られている。この深部体温測定装置は、熱流補償法を応用して、体表面からの熱の放散を見かけ上0にすることで、体深部から体表面への熱流をなくして体表面と体深部とを熱平衡状態とし、その状態で体表面温度を測ることで体深部と同じ温度を計測して、体表面から間接的に体深部体温を測定する。 As a conventional apparatus for measuring the body temperature in the deep part of the body, a deep body temperature measuring apparatus developed by Fox and Solman in 1971 is known. This deep body temperature measurement device applies a heat flow compensation method to make the heat dissipation from the body surface apparently zero, thereby eliminating the heat flow from the body surface to the body surface, and achieving thermal equilibrium between the body surface and the body depth part. In this state, the body surface temperature is measured to measure the same temperature as the deep body, and the deep body temperature is indirectly measured from the body surface.
具体的には、上記従来の深部体温測定装置は、体表面に接触する測定面側から順に第1の温度センサと第2の温度センサとヒータとを具えるとともに、それら第1の温度センサと第2の温度センサとの間に断熱材を具える加熱型の深部体温計を用い、測定面を体表面に密着させて第1の温度センサで体表面温度を計測するとともに、第2の温度センサでヒータ温度を計測し、それら第1,第2の温度センサの温度差が0に近づくようにヒータの温度を制御することで熱流を補償して、体温計内での熱流が0になるようにする。この深部体温測定装置は、外気温の影響が少なく、しかも刺針を用いたりせず非侵襲的に体深部体温を測定することができる(例えば特許文献1参照)。 Specifically, the conventional deep body temperature measuring device includes a first temperature sensor, a second temperature sensor, and a heater in order from the measurement surface side that contacts the body surface, and the first temperature sensor, A heating-type deep thermometer having a heat insulating material between the second temperature sensor and the measurement surface is brought into close contact with the body surface to measure the body surface temperature with the first temperature sensor. The heater temperature is measured by the above, and the heat flow is compensated by controlling the heater temperature so that the temperature difference between the first and second temperature sensors approaches zero, so that the heat flow in the thermometer becomes zero. To do. This deep body temperature measuring device is less affected by the outside air temperature, and can measure the deep body temperature non-invasively without using a puncture needle (see, for example, Patent Document 1).
上記従来の深部体温測定装置を用いた深部体温管理の技術は、戸川および根本等のグループと、テルモ社とによって改良され、特に前額部からの深部体温の管理は、現在日本では広く心臓外科領域で利用されている。また深部体温の管理は、集中治療室や循環不全の管理などにも利用されている。 The technology of deep body temperature management using the above-mentioned conventional deep body temperature measuring device has been improved by the group such as Togawa and Nemoto and Terumo, and in particular, the management of deep body temperature from the forehead has been widely used in Japan today. Used in the area. Deep body temperature management is also used in intensive care units and circulatory failure.
一方、体の深部の体温を測定する従来の装置としては、非加熱型の簡易型深部体温計を用いるものも知られている。体表面に皮下組織と同程度の熱伝導率を持つ断熱材を密着させると、血流で運ばれてきた体熱は皮下組織と断熱材中をその熱抵抗値と温度差とにより伝導して外気中に放熱されるので、熱抵抗値が既知の断熱材を用いて、この断熱材の体表面接触面と外気接触面との温度を測れば、皮下組織の熱の特性がほぼ一定であるため、非侵襲的に体深部体温を測定することができる。この従来の装置は、かかる原理を用いたものである。 On the other hand, as a conventional apparatus for measuring the body temperature in the deep part of the body, an apparatus using a non-heating type simple depth thermometer is also known. When a heat insulating material having the same thermal conductivity as that of the subcutaneous tissue is brought into close contact with the body surface, the body heat carried in the bloodstream is conducted through the subcutaneous tissue and the heat insulating material due to its thermal resistance value and temperature difference. Since heat is dissipated in the outside air, the heat characteristics of the subcutaneous tissue are almost constant if the temperature of the body surface contact surface and the outside air contact surface of this heat insulating material is measured using a heat insulating material with a known thermal resistance value. Therefore, the deep body temperature can be measured non-invasively. This conventional apparatus uses such a principle.
体深部の温度をTb、外気に接触している断熱材表面の温度をTa、体表面に接触している断熱材表面の温度をTt、皮下組織の熱抵抗値をRt、断熱材の熱抵抗値をRaとすると、電気回路相似法によれば、以下の関係式(1)が成り立つ。
ここで、皮下組織の熱抵抗値Rtは、温度を測定する深部までの深さLtと熱伝導率ktとで定まり、深さLt=2cm、熱伝導率kt=1×10−3cal/cm・sec・℃(皮下組織を筋肉組織と仮定)とすると、熱抵抗値Rtは2×103cm・sec・℃/calとなる。 Here, the thermal resistance value Rt of the subcutaneous tissue is determined by the depth Lt up to the depth at which the temperature is measured and the thermal conductivity kt, the depth Lt = 2 cm, and the thermal conductivity kt = 1 × 10 −3 cal / cm.・ Assuming sec · ° C. (assuming that the subcutaneous tissue is muscle tissue), the thermal resistance value Rt is 2 × 10 3 cm · sec · ° C./cal.
従って、具体的には、上記の深部体温測定装置は、体表面に接触する測定面側から順に第1の温度センサと第2の温度センサとを具えるとともに、それら第1の温度センサと第2の温度センサとの間にあらかじめ厚さLaと熱伝導率Kaとにより熱抵抗値Raを決定した断熱材を具える非加熱型の深部体温計を用いて、外気に接触している断熱材表面の温度Taと、体表面に接触している断熱材表面の温度Ttとを測定し、それらを上記式(1)に代入することで、体深部の温度Tbを求める(例えば特許文献2参照)。
Therefore, specifically, the deep body temperature measuring device includes the first temperature sensor and the second temperature sensor in order from the measurement surface side in contact with the body surface, and the first temperature sensor and the second temperature sensor. The surface of the heat insulating material in contact with the outside air using a non-heated deep thermometer comprising a heat insulating material whose thermal resistance value Ra is determined in advance between the
非加熱型の簡易型深部体温計を用いる従来の深部体温測定装置としてはまた、先の加熱型と同様に熱平衡を用いるものも知られている。熱抵抗値が既知の断熱材で体表面を覆って生体深部から体表面に至る熱流をほぼ0とし、体表面の温度分布をほぼ体深部の体温と同一にして、断熱材の体表面接触面と外気接触面との温度を測れば、非侵襲的に体深部体温を測定することができる。この従来の装置は、かかる原理を用いたものである。 As a conventional deep body temperature measuring apparatus using a non-heating type simple deep body thermometer, an apparatus using thermal equilibrium is also known as in the previous heating type. Covering the body surface with a heat insulating material with a known thermal resistance value, the heat flow from the deep part of the living body to the surface of the body is made almost zero, the body surface temperature distribution is made substantially the same as the body temperature of the deep body part, and the body surface contact surface of the heat insulating material And the outside air contact surface can be measured noninvasively to measure the deep body temperature. This conventional apparatus uses such a principle.
体深部の温度をTb、大気に接触している断熱材表面の温度をTa、体表面に接触している断熱材表面の温度をTt、皮下組織の熱抵抗値をRt、断熱材の熱抵抗値をRaとすると、電気回路相似法によれば、以下の関係式(2)が成り立つ。
ここで、断熱材の熱抵抗値Ra を皮下組織の熱抵抗値Rtより充分大きくしておく(Ra≫Rt)と、Ra/(Rt + Ra)≒1となり、Tt≒Ta となるので、深部体温を体表面温度として測定することができる。
Tb is the temperature in the deep part of the body, Ta is the temperature of the surface of the insulation that is in contact with the atmosphere, Tt is the temperature of the surface of the insulation that is in contact with the body surface, Rt is the thermal resistance value of the subcutaneous tissue, and the thermal resistance of the insulation When the value is Ra, the following relational expression (2) is established according to the electric circuit similarity method.
Here, if the thermal resistance value Ra of the heat insulating material is sufficiently larger than the thermal resistance value Rt of the subcutaneous tissue (Ra >> Rt), Ra / (Rt + Ra) ≈1 and Tt≈Ta. Body temperature can be measured as body surface temperature.
従って、具体的には、上記従来の深部体温測定装置は、内部に体表面から近い順に第1の温度センサと断熱材と第2の温度センサとを具えるとともにあらかじめ断熱材の厚さLaと熱伝導率Kaとにより断熱材の熱抵抗値Raを適宜に決定した非加熱型の深部体温計を用いて、大気に接触している断熱材表面の温度Taと、皮膚に接触している断熱材表面の温度Ttとを測定し、それらを上記式(2)に代入することで、体深部の温度Tbを求める(例えば特許文献3参照)。
しかしながら、前者の加熱型の深部体温計では、ヒータで加熱するために電源が必要となるとともにそのヒータを制御するために高精度の制御回路が必要となって、それを用いる測定装置が大型且つ高価なものとなるという問題がある。さらに、ヒータの電力を必要とするため、電池駆動での長時間計測ができず、携帯型の深部体温計には応用できないという問題がある。 However, the former heating-type deep thermometer requires a power source for heating with a heater and requires a high-precision control circuit for controlling the heater, and a measuring device using the same is large and expensive. There is a problem that it will be. Furthermore, since the power of the heater is required, there is a problem that measurement cannot be performed for a long time by battery drive and cannot be applied to a portable deep thermometer.
一方、後者の非加熱型の深部体温計のうち第1のものでは、皮膚および皮下組織の熱抵抗値Rtを一定値と仮定しているが、かかる熱抵抗値Rtは実際上は個人差があるとともに頭部、腹部、四肢部等の部位によっても異なるため、深部体温の測定誤差が大きいという問題がある。 On the other hand, in the first of the latter non-heating type thermometers, it is assumed that the thermal resistance value Rt of the skin and subcutaneous tissue is a constant value. However, the thermal resistance value Rt is actually different among individuals. At the same time, since it varies depending on the head, abdomen, limbs, etc., there is a problem that the measurement error of the deep body temperature is large.
そして、後者の非加熱型の深部体温計のうち第2のものでは、体表面に至る熱流をほぼ0と仮定しているが、断熱材で覆うだけでは熱流を0とするのは困難であるため、深部体温の測定誤差が大きいという問題がある。 The second of the latter non-heated deep thermometers assumes that the heat flow reaching the body surface is almost zero, but it is difficult to make the heat flow zero by simply covering with a heat insulating material. There is a problem that the measurement error of deep body temperature is large.
この発明は、上記課題を有利に解決することを目的とするものであり、この発明の非加熱型深部体温計は、本願発明者の以下の知見に基づいている。 This invention aims at solving the said subject advantageously, and the non-heating type depth thermometer of this invention is based on the following knowledge of this inventor.
体表面のある領域を断熱材で覆うと、その部分では体表面からの熱放散が少なくなるので、外気に露出している部分よりも体表面の温度が高くなる。断熱材および直下の皮下組織において、熱流が一定で、体表面に対して垂直上向きであるとすると、熱流は断熱材の熱抵抗値と温度差から求められる。同様に、断熱材に覆われた部分の皮下組織内の深部温と体表面の温度差と皮下組織の熱抵抗値とからも熱流は求められるため、深部温度は、皮下組織の熱抵抗値と未知数としての断熱材の温度と熱抵抗値とから求められる。 When an area on the body surface is covered with a heat insulating material, heat dissipation from the body surface is reduced in that portion, so that the temperature of the body surface becomes higher than the portion exposed to the outside air. Assuming that the heat flow is constant in the heat insulating material and the subcutaneous tissue immediately below and is vertically upward with respect to the body surface, the heat flow is obtained from the heat resistance value of the heat insulating material and the temperature difference. Similarly, since the heat flow is also obtained from the deep temperature in the subcutaneous tissue of the part covered with the heat insulating material, the temperature difference of the body surface, and the thermal resistance value of the subcutaneous tissue, the deep temperature is the thermal resistance value of the subcutaneous tissue. It is calculated | required from the temperature and heat resistance value of a heat insulating material as an unknown.
それゆえ、皮下組織の熱抵抗値が一定であるとして、少なくとも二種の熱抵抗値の断熱材で体表面を覆った時、それぞれの断熱材について皮下組織の熱抵抗値を未知数として深部温度を断熱材の温度差と熱抵抗値とから求め、それらの深部温度の式を連立させて皮下組織の熱抵抗値を消去すれば、深部体温を求めることができる。
図1(a)は、体表面を熱抵抗R1の断熱材で覆った場合について考える。断熱材およびその直下の組織における熱流が上向き一定であり、組織内の熱抵抗をRとおくと、電気回路相似法によれば、温度差、熱流量、熱伝導率にそれぞれ電位差、電流、抵抗を対応させた等価回路を図1(b)として考えことができる。
Therefore, assuming that the thermal resistance value of the subcutaneous tissue is constant, when the body surface is covered with at least two types of thermal resistance insulation materials, the depth temperature is determined for each thermal insulation material with the subcutaneous tissue thermal resistance value as an unknown. By obtaining the temperature difference of the heat insulating material and the thermal resistance value, and by eliminating the thermal resistance value of the subcutaneous tissue by simultaneous expression of these deep temperature equations, the deep body temperature can be obtained.
1 (a) is, consider the case of covering the body surface with a heat insulating material of the thermal resistance R 1. When the heat flow in the thermal insulation and the tissue immediately below it is constant upward, and the thermal resistance in the tissue is R, according to the electric circuit similarity method, the potential difference, current, resistance in the temperature difference, heat flow rate, and thermal conductivity, respectively. An equivalent circuit corresponding to can be considered as FIG.
等価回路について考えると、熱流Iは次式(3)で求められる。
変形して深部温度TBを求めると
ここで、TC,TAは断熱材の体表面に接触する測定面側および外気側の温度、R,R1は皮下組織および断熱材の熱抵抗値である。但し、皮下組織の熱抵抗値は個人差があり、また頭部、腹部などの部位によっても異なるため、一定値に定めるにことは困難である。そこで、皮下組織の熱抵抗値を用いず算出するため、図2(a)に示すように二種の断熱材で皮膚表面を覆った場合について考えると、等価回路は図2(b)に示す回路となる。なお、熱流は上向き一定で、二種の断熱材の間での伝熱はないものとする。この等価回路では、二種の熱抵抗値をR1,R2とし、外気の温度T3,T4は等温であるとする。 Here, TC and TA are the temperatures on the measurement surface side and the outside air side in contact with the body surface of the heat insulating material, and R and R1 are the thermal resistance values of the subcutaneous tissue and the heat insulating material. However, since the thermal resistance value of the subcutaneous tissue varies among individuals and varies depending on the site such as the head and abdomen, it is difficult to set a constant value. Therefore, in order to calculate without using the thermal resistance value of the subcutaneous tissue, considering the case where the skin surface is covered with two kinds of heat insulating materials as shown in FIG. 2 (a), the equivalent circuit is shown in FIG. 2 (b). It becomes a circuit. It is assumed that the heat flow is constant upward and there is no heat transfer between the two heat insulating materials. In this equivalent circuit, it is assumed that the two types of thermal resistance values are R1 and R2, and the outside air temperatures T3 and T4 are isothermal.
図2(b)のa−b間およびc−d間において、それぞれTBを求めると、
ここで、R1=KR2とし、上記の式(5),(6)からRを除去すると、深部体温TBは、
よって、上記式(7)より、二種の熱抵抗値R1,R2の比Kは、次式(8)で与えられる。
なお、熱抵抗値比Kの値は、本願発明者の実験の結果、外気温の影響を受けることが判明しているが、あらかじめ外気温の変化に応じて求めておくか、後述のように体温計をさらに断熱材で覆うことで、外気温の影響を排除することができる。
Here, when R1 = KR2 and R is removed from the above equations (5) and (6), the deep body temperature TB is
Therefore, from the above equation (7), the ratio K of the two types of thermal resistance values R1 and R2 is given by the following equation (8).
The value of the thermal resistance value ratio K has been found to be affected by the outside air temperature as a result of the experiment by the present inventor, but is determined in advance according to a change in the outside air temperature, or as described later. By further covering the thermometer with a heat insulating material, the influence of the outside air temperature can be eliminated.
この発明は上述した測定原理に基づいており、この発明の非加熱型深部体温計は、体表面に接触する測定面側から順に第1の温度センサと第2の温度センサとを具えるとともに、それら第1の温度センサと第2の温度センサとの間に断熱材を具える非加熱型の深部体温計において、前記第1の温度センサと前記第2の温度センサとの組を少なくとも二組具え、前記第1の温度センサと前記第2の温度センサとの組毎に、それら第1の温度センサと第2の温度センサとの間の前記断熱材の熱抵抗値が異なることを特徴とするものである。 The present invention is based on the above-described measurement principle, and the non-heating type depth thermometer of the present invention includes a first temperature sensor and a second temperature sensor in order from the measurement surface side in contact with the body surface. In the non-heating type depth thermometer including a heat insulating material between the first temperature sensor and the second temperature sensor, the first temperature sensor and the second temperature sensor include at least two sets, The thermal resistance value of the heat insulating material between the first temperature sensor and the second temperature sensor is different for each set of the first temperature sensor and the second temperature sensor. It is.
また、上記発明の非加熱型深部体温計を用いるこの発明の深部体温測定装置は、前記第1の温度センサと前記第2の温度センサとがそれぞれ測定した温度の差および、前記第1の温度センサと第2の温度センサとの少なくとも二組のそれぞれの間の熱抵抗値の比とから深部体温を求めることを特徴とするものである。 Further, the deep body temperature measuring device of the present invention using the non-heating type deep body thermometer of the present invention includes a difference in temperature measured by the first temperature sensor and the second temperature sensor, and the first temperature sensor. The deep body temperature is obtained from the ratio of the thermal resistance values between at least two sets of the first temperature sensor and the second temperature sensor.
この発明の非加熱型深部体温計によれば、第1の温度センサと第2の温度センサとの組を少なくとも二組具え、その第1の温度センサと第2の温度センサとの組毎にそれら第1の温度センサと第2の温度センサとの間の断熱材の熱抵抗値が異なることから、上述の如くして、第1の温度センサが測定した温度(例えば上記T1,T2)と第2の温度センサが測定した温度(例えば上記T3,T4)および、第1の温度センサと第2の温度センサとの少なくとも二組のそれぞれの間の熱抵抗値の比(例えば上記K)とから深部体温を求めることができるので、非侵襲的に且つヒータを用いずして体の深部の体温を高精度に測定することができる。 According to the non-heating type depth thermometer of the present invention, at least two sets of the first temperature sensor and the second temperature sensor are provided, and for each set of the first temperature sensor and the second temperature sensor, they are provided. Since the heat resistance value of the heat insulating material between the first temperature sensor and the second temperature sensor is different, the temperature measured by the first temperature sensor (for example, T1 and T2 above) and the first temperature sensor as described above. From the temperature measured by the two temperature sensors (for example, T3 and T4) and the ratio of the thermal resistance values between the at least two sets of the first temperature sensor and the second temperature sensor (for example, K). Since the deep body temperature can be obtained, the body temperature of the deep body can be measured with high accuracy non-invasively and without using a heater.
また、この発明の非加熱型深部体温測定装置によれば、この発明の非加熱型深部体温計の第1の温度センサが測定した温度(例えば上記T1,T2)と第2の温度センサが測定した温度(例えば上記T3,T4)および、第1の温度センサと第2の温度センサとの少なくとも二組のそれぞれの間の熱抵抗値の比(例えば上記K)とから、上述の如くして深部体温を求めることができるので、小型且つ安価な装置で体の深部の体温を高精度に測定することができる。 In addition, according to the non-heating type deep body temperature measuring device of the present invention, the temperature measured by the first temperature sensor of the non-heating type deep body thermometer of the present invention (for example, T1 and T2 above) and the second temperature sensor measured. From the temperature (for example, T3 and T4) and the ratio of the thermal resistance value between each of at least two sets of the first temperature sensor and the second temperature sensor (for example, K), as described above, Since the body temperature can be obtained, the body temperature in the deep part of the body can be measured with high accuracy by a small and inexpensive device.
なお、この発明の非加熱型深部体温計においては、前記断熱材は、一種類の断熱材の前記測定面側に位置する測定面側表面とそれと対抗する外気側表面との間の厚さが中心からの距離に応じて同心円状に変化することで、それら測定面側表面と外気側表面との間の熱抵抗値が中心からの距離に応じて異なるものであり、前記第1の温度センサと前記第2の温度センサとは、それらの温度センサの組毎に前記断熱材の中心からの距離が異なって位置するように、前記断熱材の前記測定面側表面と前記外気側表面とに配置されていても良い。このようにすれば、一種類の断熱材で容易且つ安価に非加熱型深部体温計を構成することができる。 In the non-heated deep thermometer of the present invention, the heat insulating material is centered on the thickness between the measurement surface side surface located on the measurement surface side of one type of heat insulating material and the outside air surface facing it. By changing concentrically according to the distance from the surface, the thermal resistance value between the measurement surface side surface and the outside air side surface differs according to the distance from the center, and the first temperature sensor The second temperature sensor is arranged on the measurement surface side surface and the outside air side surface of the heat insulating material so that the distance from the center of the heat insulating material is different for each set of the temperature sensors. May be. If it does in this way, a non-heating type deep body thermometer can be comprised easily and cheaply with one type of heat insulating material.
また、この発明の非加熱型深部体温計においては、前記断熱材は、独立気泡型の発泡性スポンジゴムとしても良い。このようにすれば、気泡が独立しているため、汗等の水が断熱材の内部に滲みこまず、しかも断熱材の内部の空気の出入りがないため、熱抵抗値を一定に維持することができる。 Moreover, in the non-heating type deep thermometer of this invention, the said heat insulating material is good also as a closed-cell type foaming sponge rubber. In this way, since bubbles are independent, water such as sweat does not penetrate into the heat insulating material, and air does not enter or leave the heat insulating material, so that the thermal resistance value is kept constant. Can do.
さらに、この発明の非加熱型深部体温計においては、前記断熱材は、前記測定面側表面と前記外気側表面との間の厚さが中心からの距離の増加に応じて同心円状に段階的に減少することで、それら測定面側表面と外気側表面との間の熱抵抗値が中心からの距離の増加に応じて段階的に減少するものであっても良い。このようにすれば、外周部分の厚さを薄くして非加熱型深部体温計をコンパクトに構成することができる。 Furthermore, in the non-heating type depth thermometer according to the present invention, the heat insulating material is stepwise in a concentric manner in which the thickness between the measurement surface side surface and the outside air side surface increases with an increase in the distance from the center. By decreasing, the thermal resistance value between the measurement surface side surface and the outside air side surface may decrease stepwise as the distance from the center increases. If it does in this way, the thickness of an outer peripheral part can be made thin and a non-heating type deep body thermometer can be comprised compactly.
さらに、この発明の非加熱型深部体温計においては、前記断熱材の前記測定面側表面には、前記第1の温度センサと前記第2の温度センサとの少なくとも二組のうち同一の組に属する複数の前記第1の温度センサ同士を繋ぐ測定面側伝熱部材が設けられており、前記断熱材の前記外気側表面には、前記第1の温度センサと前記第2の温度センサとの全ての組の前記第2の温度センサ同士を繋ぐ外気側伝熱部材が設けられていても良い。このようにすれば、何れかの温度センサの組が前記第1の温度センサを複数有する場合にそれら第1の温度センサの温度同士を測定面側伝熱部材の熱伝導によって均一化し得るとともに、温度センサの全ての組の第2の温度センサの温度同士を外気側伝熱部材の熱伝導によって均一化し得るので、体表面の部分的な温度のバラつきを平均化して、より精度良く深部体温を測定することができる。 Furthermore, in the non-heating type depth thermometer of this invention, the measurement surface side surface of the heat insulating material belongs to the same set of at least two sets of the first temperature sensor and the second temperature sensor. A measuring surface side heat transfer member that connects the plurality of first temperature sensors is provided, and all of the first temperature sensor and the second temperature sensor are provided on the outside air side surface of the heat insulating material. An outside air side heat transfer member that connects the second temperature sensors of the set may be provided. In this way, when any one of the temperature sensors has a plurality of the first temperature sensors, the temperatures of the first temperature sensors can be made uniform by the heat conduction of the measurement surface side heat transfer member, and Since the temperature of the second temperature sensors of all sets of temperature sensors can be made uniform by the heat conduction of the outside air side heat transfer member, the partial temperature variation of the body surface is averaged, and the deep body temperature can be more accurately obtained. Can be measured.
そして、この発明の非加熱型深部体温計においては、前記断熱材の前記外気側表面には、少なくともその断熱材の外気側表面および、前記第1の温度センサと前記第2の温度センサとの全ての組の前記第2の温度センサを覆う断熱材製のカバーを具えていても良い。かかるカバーを具えていれば、上述のように外気温による断熱材の熱抵抗値比の変化を抑制することができるので、外気温にかかわらず一定の熱抵抗値比を用い得て深部体温の計算を容易なものとすることができる。 And in the non-heating type deep body thermometer of this invention, the outside air side surface of the heat insulating material includes at least the outside air side surface of the heat insulating material, the first temperature sensor, and the second temperature sensor. A cover made of heat insulating material may be provided to cover the second temperature sensor of the set. If such a cover is provided, the change in the thermal resistance value ratio of the heat insulating material due to the outside air temperature can be suppressed as described above, so that a constant thermal resistance value ratio can be used regardless of the outside air temperature, Calculation can be made easy.
また、この発明の深部体温測定装置は、例えばパーソナルコンピュータやマイクロコンピュータ等のコンピュータあるいはアナログ式演算回路等を用いることで構成することができる。 The deep body temperature measuring device of the present invention can be configured by using a computer such as a personal computer or a microcomputer or an analog arithmetic circuit, for example.
以下、本発明の実施の形態を実施例によって、図面に基づき詳細に説明する。ここに、図3は、この発明の非加熱型深部体温計の一実施例を示す断面図、図4(a),(b)は、その実施例の非加熱型深部体温計を示す平面図および底面図であり、この実施例の非加熱型深部体温計1は、図では下向きの面である、体表面に接触する測定面1a側から順に、第1の温度センサ2−1,2−2と、第2の温度センサ3−1,3−2とを具えるとともに、それら第1の温度センサ2−1,2−2と第2の温度センサ3−1,3−2との間に断熱材4を具えており、ここで、第1の温度センサ2−1と第2の温度センサ3−1とは一つの組(第1の組)をなし、また第1の温度センサ2−2と第2の温度センサ3−2とはもう一つの組(第2の組)をなしている。なお、これらの温度センサ2−1,2−2,3−1,3−2としては、例えばアナログデバイセズ社製のIC温度センサAD590を使用することができる。
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 3 is a cross-sectional view showing an embodiment of the non-heating type deep thermometer of the present invention, and FIGS. 4A and 4B are a plan view and a bottom view showing the non-heating type deep thermometer of the embodiment. It is a figure, the non-heating
またここで、断熱材4は、独立気泡型の発泡性スポンジゴムにより、図では下側の測定面側表面4aと図では上側の外気側表面4bとの間の厚さが中心からの距離の増加に応じて同心円状に段階的に減少するように、図示例では厚さが13mmの中央部4cと厚さが7mmの周辺部4dとからなる円盤状に形成されており、これにより断熱材4のそれら測定面側表面4aと外気側表面4bとの間の熱抵抗値は、中央部4cに対し周辺部4dで段階的に減少している。
Further, here, the
さらに、この実施例の非加熱型深部体温計1は、断熱材4の中央部4cの測定面側表面4aの中心部に貼着された、図示例では外径が8mmで厚さが1mmの銅製の円盤5と、断熱材4の周辺部4dの測定面側表面4aにその断熱材4と同心に貼着された、図示例では外径が36mm且つ幅が3mmで厚さが1mmの銅製のリング6と、断熱材4の外気側表面4bにその断熱材4の中央部4cと周辺部4dとを覆うように貼着された、図示例では周辺部外径が44mm且つ中央部外径が26mmで高さが8mm且つ厚さが2mmのハット型断面の銅製のキャップ7とを具えている。
Furthermore, the non-heating type
そしてこの実施例の非加熱型深部体温計1では、上記第1の温度センサの一方である第1の温度センサ2−1は、上記断熱材4の中央部4cの測定面側表面4aの中心部と上記銅製の円盤5との間に一個介装され、第1の温度センサの他方である第1の温度センサ2−2は、その断熱材4の周辺部4dの測定面側表面4aと上記銅製のリング6との間に互いに周方向に等間隔に離間して四個(図では二個のみ示す)介装されており、また第2の温度センサの一方である第2の温度センサ3−1は、その断熱材4の中央部4cの外気側表面4bの中心部と上記銅製のキャップ7との間に一個介装され、第2の温度センサの他方である第2の温度センサ3−2は、その断熱材4の周辺部4dの外気側表面4aと上記銅製のキャップ7との間に四個の第1の温度センサ2−2とそれぞれ断熱材4の厚さ方向に整列するように四個(図では二個のみ示す)介装されている。
And in the non-heating
かかる実施例の非加熱型深部体温計1によれば、第1および第2の温度センサ2−1,2−2,3−1,3−2で測定した断熱材4の内部を流れる熱流および、断熱材4の中央部4cと周辺部4dとの熱抵抗値の比Kから、前記式(7)により、深部体温TBが算出される。
According to the non-heating
図5は、上記第1および第2の温度センサ2−1,2−2,3−1,3−2の出力電圧をそれぞれ増幅して基準電圧と対比し、それら第1および第2の温度センサ2−1,2−2,3−1,3−2が測定した温度を1℃=1Vの電圧で出力するアナログ回路を例示しており、かかるアナログ回路の出力電圧を図示しない通常のA/Dコンバータでデジタル信号に変換して、あらかじめ求めた断熱材4の中央部4cと周辺部4dとの熱抵抗値の比Kを入力しておいた図示しない通常のパーソナルコンピュータに入力し、それら第1の温度センサ2−1,2−2の測定した温度T1,T2および上記第2の温度センサ3−1,3−2の測定した温度T3,T4と熱抵抗値の比Kとから、そのパーソナルコンピュータに前記式(7)の計算をさせることで、深部体温TBを算出することができる。従って、この実施例の非加熱型深部体温計1、上記図5のアナログ回路、上記A/Dコンバータおよび上記パーソナルコンピュータは、この発明の深部体温測定装置の一実施例を構成する。
FIG. 5 shows the output voltages of the first and second temperature sensors 2-1, 2-2, 3-1 and 3-2 respectively amplified and compared with the reference voltage, and the first and second temperatures. The analog circuit that outputs the temperature measured by the sensors 2-1, 2-2, 3-1, 3-2 at a voltage of 1 ° C. = 1 V is illustrated, and the output voltage of the analog circuit is not shown in the normal A / D converter converts it into a digital signal, and inputs the ratio K of the thermal resistance value between the central portion 4c and the
図6(a),(b)は、上記実施例の非加熱型深部体温計1に用いる断熱材製のカバー8をカバー単独および非加熱型深部体温計1を覆った状態のそれぞれについて斜め下方から見た状態で示す斜視図である。この図示例のカバー8はスポンジ製で、外径が50mm且つ厚さが40mmである。
6A and 6B show the
図7は、深部体温測定のシミュレーション実験の方法を示す説明図である。この実験では、恒温水槽内で37℃の一定にした水面に銅製の箱を浮かべ、その箱の底に、熱伝導率が1.7×10−2J/cm℃で厚さ1〜10mmのゴム板を厚さ1mm違い毎に10枚揃えて固定した。環境(外気)温度は20℃,25℃,30℃の各室温で一定にした。そして、この実施例の非加熱型深部体温計1と、上記アナログ回路およびA/Dコンバータと通常のパーソナルコンピュータとで上記実施例の深部体温測定装置を構成し、この実施例の非加熱型深部体温計1の各温度センサの測定温度T1,T2,T3,T4を上記アナログ回路およびA/Dコンバータを介して30秒毎の間隔でパーソナルコンピュータに記録した。
FIG. 7 is an explanatory diagram showing a simulation experiment method for measuring deep body temperature. In this experiment, a copper box was floated on a constant water surface of 37 ° C. in a constant temperature water bath, and the thermal conductivity was 1.7 × 10 −2 J / cm ° C. and a thickness of 1 to 10 mm at the bottom of the box. Ten rubber plates were aligned and fixed every 1 mm in thickness. The environment (outside air) temperature was kept constant at room temperature of 20 ° C., 25 ° C., and 30 ° C. And the non-heating type
上記シミュレーション実験の結果より、この実施例の非加熱型深部体温計1の各温度センサの測定温度T1,T2,T3,T4と水温37℃との関係から、断熱材4の熱抵抗比の値Kの算出を行った。ゴム板厚さが1〜10mmまでの検出温度と水温との誤差が最小となるように熱抵抗比の値Kを求めた。
From the result of the simulation experiment, the value K of the thermal resistance ratio of the
図8(a),(b),(c)は、室温20℃,25℃,30℃におけるシミュレーション実験時の、最適な熱抵抗比を求めた場合の誤差をそれぞれ示す関係線図である。室温20℃の時、Kは2.5で、±0.1℃以内で検出できた。室温25℃の時、Kは2.8で、±0.1℃以内で検出できた。室温30℃の時、Kは3.0で、±0.1℃以内で検出できた。以上の結果より、この実施例の非加熱型深部体温計1の熱抵抗比の値Kは室温の影響を受け、Kは2.5〜3.0の範囲で温度特性を有することを示した。
FIGS. 8A, 8B, and 8C are relationship diagrams respectively showing errors when an optimum thermal resistance ratio is obtained in a simulation experiment at room temperature of 20 ° C., 25 ° C., and 30 ° C. FIG. At room temperature of 20 ° C., K was 2.5, and could be detected within ± 0.1 ° C. At room temperature of 25 ° C., K was 2.8, and could be detected within ± 0.1 ° C. When the room temperature was 30 ° C., K was 3.0 and could be detected within ± 0.1 ° C. From the above results, it was shown that the value K of the thermal resistance ratio of the non-heating type
図9は、この実施例の非加熱型深部体温計1をカバー8で覆った場合の、室温25℃におけるシミュレーション実験時の熱抵抗比の値Kとゴム板厚さ1〜10mmまでの検出誤差との関係を示す関係線図であり、この実験での、室温25℃における熱抵抗比の値Kは4.0が最適値であった。また、その最適値を用いて、シミュレーション実験でのゴム板1〜10mmでの水温37℃を検出した時の誤差は±0.1℃以内であった。
FIG. 9 shows the value K of the thermal resistance ratio at the time of a simulation experiment at a room temperature of 25 ° C. and the detection error up to a rubber plate thickness of 1 to 10 mm when the unheated
図10(a),(b),(c)は、室温20℃における、人の身体各部である側頭部、胸部および腹部のそれぞれの、熱流補償型深部体温計と、カバー8で覆ったこの実施例の非加熱型深部体温計1とによる検出温度の比較結果を示す関係線図であり、図10(d)は、室温30℃における、人の胸部の、熱流補償型深部体温計と、カバー8で覆ったこの実施例の非加熱型深部体温計1とによる検出温度の比較結果を示す関係線図である。
10 (a), 10 (b), and 10 (c) show the heat flow-compensated deep thermometer and the
図10(a),(b),(c)の関係線図は、各室温で両体温計を用いた測定装置での検出温度の値が±0.1℃以内であったということを示している。また温度平衡時間は、側頭部の場合に約25分、胸部の場合に約30分、腹部の場合に約40分程度であった。図10(d)の関係線図は、室温が30℃になると、温度平衡時間が短くなり、また両体温計を用いた深部体温測定装置の検出結果がほぼ一致することを示している。 The relationship diagrams of FIGS. 10 (a), (b), and (c) show that the detected temperature value in the measuring device using both thermometers was within ± 0.1 ° C. at each room temperature. Yes. The temperature equilibration time was about 25 minutes for the temporal region, about 30 minutes for the chest region, and about 40 minutes for the abdominal region. The relationship diagram of FIG. 10D shows that when the room temperature reaches 30 ° C., the temperature equilibration time is shortened, and the detection results of the deep body temperature measuring device using both thermometers are almost the same.
図11は、被験者10人の側頭部に、熱流補償型深部体温計と、カバー8で覆ったこの実施例の非加熱型深部体温計1とを左右に固定し、同時に測定した時の両者の検出温度の比較を行った結果を示す関係線図である。熱流補償型深部体温計の平均検出温度は36.87℃であったのに対し、この実施例の非加熱型深部体温計1の平均検出温度は36.85℃を示しており、ほぼ両体温計は同じ値を示した。
FIG. 11 shows detection of a heat flow compensated deep thermometer and a non-heated
上記の結果を纏めると、この実施例の非加熱型深部体温計1およびそれを用いたこの実施例の深部体温測定装置では、ゴム板を用いたシミュレーション実験より室温20℃,25℃,30℃において各室温でのゴム板厚さ1〜10mmでの検出誤差が最も小さい断熱材4の熱抵抗比の値Kは、2.5,2.8,3.0であった。また熱抵抗比の値Kに温度の影響が認められた。
Summarizing the above results, in the non-heating
この実施例の非加熱型深部体温計1をカバー8(50mmφ×40mm)で覆うことで、検出誤差が最小となる熱抵抗比Kは4.0を示した。カバー8を取り付けることで室温の影響を殆ど無視でき、ゴム板1〜10mmの厚さにおいて水温37℃を±0.1℃以内で検出することができた。
By covering the non-heating
カバー8で覆ったこの実施例の非加熱型深部体温計1と熱流補償型深部体温計とを比較した結果、ヒト身体各部の皮下深部体温の検出精度において、±0.1℃以内の差であった。また応答時間においてもほぼ同様な値を示した。そして被験者10人を用いた実験では、側頭部深部体温検出結果の比較から、カバー8で覆ったこの実施例の非加熱型深部体温計1と熱流補償型深部体温計とはほぼ同じ温度を示した。
As a result of comparing the
従って、この実施例の非加熱型深部体温計1によれば、非侵襲的に且つヒータを用いずして体の深部の体温を高精度に測定することができる。そしてこの実施例の深部体温測定装置によれば、小型且つ安価な装置で体の深部の体温を高精度に測定することができる。
Therefore, according to the non-heating type
以上、図示例に基づき説明したが、この発明は上記例に限定されるものでなく、特許請求の範囲の記載の範囲内で適宜変更することができ、例えば、第1の温度センサと第2の温度センサとの組を三組以上具えて、それらのうち二組ずつで測定した深部体温を平均化しても良く、また断熱材の上端面を裁頭円錐状や部分球面状として断熱材の熱抵抗値が半径方向に連続的に変化するようにしても良い。さらに、第1の温度センサと第2の温度センサとの第1の組と第2の組とで断熱材の材質を異ならせる等、断熱材を複数種類用いても良く、また断熱材の材質として、ウレタンフォームを用いても良い。さらに、伝熱部材の材質は上記実施例における銅に限られず、例えばシリコン等を用いても良い。 Although the present invention has been described based on the illustrated examples, the present invention is not limited to the above examples, and can be appropriately changed within the scope of the claims, for example, the first temperature sensor and the second temperature sensor. Three or more temperature sensor pairs may be provided, and the body temperature measured in two pairs of them may be averaged, and the top surface of the heat insulating material may be a truncated cone or a partial spherical shape. The thermal resistance value may change continuously in the radial direction. Further, a plurality of types of heat insulating materials may be used, such as different materials of the heat insulating material between the first set and the second set of the first temperature sensor and the second temperature sensor. As an example, urethane foam may be used. Furthermore, the material of the heat transfer member is not limited to copper in the above embodiment, and for example, silicon or the like may be used.
さらに、上記アナログアンプおよびA/Dコンバータさらにはマイクロコンピュータをこの発明の非加熱型深部体温計に組み込んで、非加熱型深部体温計を一体的に具える深部体温測定装置を構成しても良い。 Furthermore, the analog amplifier, the A / D converter, and the microcomputer may be incorporated in the non-heated deep thermometer of the present invention to constitute a deep body temperature measuring device that integrally includes the non-heated deep thermometer.
かくしてこの発明の非加熱型深部体温計によれば、非侵襲的に且つヒータを用いずして体の深部の体温を高精度に測定することができる。そしてこの発明の深部体温測定装置によれば、小型且つ安価な装置で体の深部の体温を高精度に測定することができる。 Thus, according to the non-heating type deep body thermometer of the present invention, the body temperature of the deep part of the body can be measured with high accuracy non-invasively and without using a heater. According to the deep body temperature measuring device of the present invention, the body temperature at the deep part of the body can be measured with high accuracy by a small and inexpensive device.
1 非加熱型深部体温計
1a 測定面
2−1,2−2 第1の温度センサ
3−1,3−2 第2の温度センサ
4 断熱材
4a 測定面側表面
4b 外気側表面
4c 中央部
4d 周辺部
5 円盤
6 リング
7 キャップ
8 カバー
DESCRIPTION OF
Claims (7)
前記第1の温度センサと前記第2の温度センサとの組を少なくとも二組具え、
前記第1の温度センサと前記第2の温度センサとの組毎に、それら第1の温度センサと第2の温度センサとの間の前記断熱材の熱抵抗値が異なることを特徴とする、非加熱型深部体温計。 The first temperature sensor and the second temperature sensor are provided in order from the measurement surface side in contact with the body surface, and a non-heated material is provided with a heat insulating material between the first temperature sensor and the second temperature sensor. In the type of thermometer,
Comprising at least two sets of the first temperature sensor and the second temperature sensor;
The thermal resistance value of the heat insulating material between the first temperature sensor and the second temperature sensor is different for each set of the first temperature sensor and the second temperature sensor, Non-heated deep thermometer.
前記第1の温度センサと前記第2の温度センサとは、それらの温度センサの組毎に前記断熱材の中心からの距離が異なって位置するように、前記断熱材の前記測定面側表面と前記外気側表面とに配置されていることを特徴とする、請求項1または2記載の非加熱型深部体温計。 The heat insulating material is such that the thickness between the measurement surface side surface located on the measurement surface side of one type of heat insulating material and the outside air surface facing it changes concentrically according to the distance from the center. The thermal resistance value between the measurement surface side surface and the outside air side surface is different depending on the distance from the center,
The measurement surface side surface of the heat insulating material is arranged such that the first temperature sensor and the second temperature sensor are located at different distances from the center of the heat insulating material for each set of the temperature sensors. The non-heating type deep thermometer according to claim 1, wherein the non-heating type deep body thermometer is arranged on the outside air side surface.
前記断熱材の前記外気側表面には、前記第1の温度センサと前記第2の温度センサとの全ての組の前記第2の温度センサ同士を繋ぐ外気側伝熱部材が設けられていることを特徴とする、請求項1から4までの何れか記載の非加熱型深部体温計。 A measurement surface connecting the plurality of first temperature sensors belonging to the same set of at least two sets of the first temperature sensor and the second temperature sensor on the measurement surface side surface of the heat insulating material. A side heat transfer member is provided,
An outside air side heat transfer member that connects all the second temperature sensors of the first temperature sensor and the second temperature sensor is provided on the outside air surface of the heat insulating material. The non-heating type depth thermometer according to any one of claims 1 to 4, wherein
前記第1の温度センサと前記第2の温度センサとがそれぞれ測定した温度および、前記第1の温度センサと第2の温度センサとの少なくとも二組のそれぞれの間の前期断熱材の熱抵抗値の比から深部体温を求めることを特徴とする、深部体温測定装置。 Using the non-heating type depth thermometer according to any one of claims 1 to 6,
The temperature measured by the first temperature sensor and the second temperature sensor, respectively, and the thermal resistance value of the pre-insulation material between at least two sets of the first temperature sensor and the second temperature sensor, respectively. A deep body temperature measuring device, wherein the deep body temperature is obtained from the ratio of the above.
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