ECG与PPG信号之相关性研究

󰳹󰀡󰒘󰀡󰎵󰀡󱏢󰀡󰔾󰭏󰯓󰚋󰏀󰸳󱏢󰘳󰎵󱏢󰳽󰀡

󰱥󰀡󰽰󰀡󰮑󰀡󱚒󰀡

󰀡󰀡

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

The correlation analysis of the ECG and the PPG signal

󰀡

󰡰󱏤󰯲󰯤󰇺林󰘻󱉺󰀡󰴱󰎳󰀡

󱏢󰀡󰀡󰒓󰇺呂󰛒󱏦󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡林󲘰󰲹󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰴋󰶵󰴣󰀡󰏍󰹮󰒇󰭯󰎐󰎜󰏖年󰏡󰐔󰀡󰀡

a

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

b

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰽂󱖴󰀡

󰓧󰮑󱚒󱇙󰕢󰶺󰻔󰇴󰫱󰐈󰽂󱖴󰡰󱏤󰯲󰯤林󰘻󱉺老󰧣󱃹󰗚󰥺󰞑󰡰󱏤󰚩󰯲󰧷󰇴不論󰓧󰮑󰽰󰣴󰘲領󰭱󰇵󰡑󰎓󰳀󰙣󰜈󰢂󰒓󰢲󰎢󰶜󰙮了󱝊󰺦󰞑󰽀見󱆶󱂴勵󰇴󰙬󱏢󰒓󱕇益良󰓭󰇹󰽂󱖴󰟋󰴬󰬳老󰧣󰯲󱏤󰗚󰥺󱏢󰽮LabVIEW󰸳󰔄󰇴󱡣󰗚󰥺󰓧󰸳󰔄󱊗󱉪󰎢更󰫈󰭼󰮳󰐈󱔈󰐋󰇶󰒗󰜭老󰧣󰞑󰡰󱏤󱆶󱜢󰐈󰇴󱏢󰒓󰞑󰮑󱚒󱇙󰕢󰏷󱏢󰎳論󰐎󰐑󰫈󰻩利󰖹󰔋󰇴󰒭󰓧󱏢󰲞󰒓󰢲󰎢更󰑃󰻩利󰇶

󰑜󰑦󰇴󰓧󰮑󱚒󱇙󰕢󰞑󰶺󰻔󰒭󰚙󰵤󰿡󱏢󰟏󰇵連󱍉󱏢󰟏󰓧󰮑󱚒󱇙󰕢󰎢󰜌󰹏󰏒󰞑󱝊󰺦󰽀見󰏷󱏢󰽰󰒓󰢲󰎢󰞑󱜢󱚶󰇴󱡣󰗚󰥺󰞑論󰐎󰫈󰭼󰻩利󰖹󰔋󰇶󰴨󰡕󰇴󰽂󱖴󰗚󰥺󰞑󰧎󰟏󰏷󰺼󱎁󱔅󰕷󰗚󰥺󰞑󰜻󰏶󰞑󱜢󰐈󰏷󰾣󱟝󰇴󰗆󰰈󰐴󰥺󰫈󰭼󰒉󱇻󰬼󰮨󰗖樂󰇶󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󰀡󰀡

󰀡

i

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱄔󰀡󰤾󰀡

󰐈󱂝󱃙󰈐Electrocardiogram󰇹ECG󰈑󰒞󰟻󰢂󱙴󰣚󱉶󰣁󰙬󰒔󰓧󰺑󰕗󰐈󱠌󰑄󰫈󰇴󰚁󰷳󰮳󰏐󰐈率󱡂異󰜄(Heart rate variability, HRV)󰇴󰚙󰚥󰖎󰇵󰕈󱓸󰇵󱁮󰭏󰇵󱅵󰪀󰇵󰩯󰩰󰇵󱛰󰞂󰸻󰓢󰪨󱉹󱟜󰇴󰒭󰑑󰏸󰢀󱡏󰏣󰔾󰐬神󰿶󰞑󰢲󰭏度(autonomic neural activity)󰇶󰕠󱒿󰹱󰓄󰱚󰎓󰎱󰬯󱞟󰏯󰇴󰒂來󰏖年󰏣󰇴󰛚󰧎󰒔󰟥󰬼󱙴療󱏔󰗷󰮒󰖇󰬯󰵯度󱈡󰘃󰇴量󰷳󰞑󰐑󰔄󰎨󰤾更󰑃󰞑󱙁易󰇴󰔶󱈺󱏔󰞑󱡏󱑈󰎨󰤾更󰣁󱇸󰑯󰐑便󰇶󰀡

󰓢󰔜󰒁論󰐎󰰟󱙖󰒗󰓀󱡏󱑈󰶔󰥊󰟞󱀦󱈺 (Photoplethysmogram󰇹PPG) 󰫈󰐚ECG󰓭󰚗󰮳󰭏󰫇󱆶󰕈流量󰞑󱁗󰫻󰏐󱓬󰼈󰇴󱆶ECG󰏐󰐈律󱡂異󰬺󰣬󱜢󰜄󰏩󰝋󰇴󰗆󰰈󰫈󰐰PPG󰟚󰟟󰎕󰔄󰇵󰧒易󱏹󰕢󱆶󰸄󰪻󰗷󰸻󰩝󰜄󰇴󰚗󰐶ECG󰏐不󰙉󰇴󰙠󰹈󰓝󰒂來󱇻󰺯󱙴療󱅱󰷳󱆶󰛚󰧎󱟈理󰇴󱃴󰱜󱃹󰐈󰕈󱆅󰩯󰩰󰞑󰔐󰶺󰺚󱘐󰚩󱂣󰙛󰇶󰀡

󱃴󱡍󰹈󰝀󰑑󰐰󰸧󰱜󰐶󰟄󰒬󰽂神󰿶󰕢󰒔󰞑ECG󰑄率󱓎󱛼󰏐󰕥󱓎󰮥󰚩PPG󰏐AM󰣬󱜢󰐪󰖇󰒅󰐚󰇶󰓢󰔜兩󰞣󰏐󰑄率󱓎󱛼󰑑󰏕󰣬󰚗󰐶󰇴󰚁󱓎󱛼󰎢󰐶󰟄󰞑󰒓理󰽀󱀀󰎨󰣬󰓕󰇴󰓢󰔜󰒂來󰮒󰑑󰫈󰒔兩󰞣󰞑󱓬󱗺來󰣬󰏕󰬛󰓝󱁮󰒔󰜭󰒓理󰎢󰟞󱀦󰞑量󰷳󰇶

󰀡󰀡󰀡

󱜢󱗖󰓷󰇺󰓀󱡏󱑈󰶔󰥊󰟞󱀦󱈺(PPG)󰇵󰐈率󱡂異(HRV)󰇵󰐈󱂝󱃙(ECG)

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ii

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

Abstract

Electrocardiogram (ECG) is wildly used to assess the heart function in medical science. The heart rate variability (HRV) influences by many factors such as breath󰁥blood pressure󰁥exercise󰁥sleep󰁥disease and drugs. It reflects the activities of autonomic nervous system in our body. However, with the population aging of the whole world, it will be a high requirement for us to use health care medical appliances at home. The equipments will be made smaller and handier than those before. It will be operated by people more easily within five years.

Relying on the superiority of the Photoplethysmogram (PPG), people can get more information about artery and blood stream volume than those about ECG. Applying correlation analysis with the heart rate variability of ECG, we hope to use the properties of non-incursive󰁥easy handling󰁥and no materials consuming of PPG to replace the inadequate of ECG , and combine with the remote medical treatment monitor and home nursing in the future. It also helps us to realize the early periods diagnosis and prevention cardiovascular diseases. In the future, therefore, it is possible to combine and cooperative these two advantages and use it to measure physical signal.

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Keyword: Photoplethysmogram(PPG)󰁥Heart rate variability(HRV)󰁥

Electrocardiogram(ECG)󰀡

󰀡󰀡󰀡

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰒞󰀡錄󰀡

󰽂󱖴-------------------------------------------------------------------------------------------------i 󰏍󰐎󱄔󰤾------------------------------------------------------------------------------------------ii󰤮󰐎󱄔󰤾-----------------------------------------------------------------------------------------iii 󰒞錄-----------------------------------------------------------------------------------------------iv 󱃙󰒞錄--------------------------------------------------------------------------------------------vi 󰟄󰒞錄------------------------------------------------------------------------------------------viii 󰲄󱀦說󰜴-----------------------------------------------------------------------------------------ix 󰏍󰤮󰐎󱃹󰾣󰟄------------------------------------------------------------------------------------x 󰀡

󰲃󰎋󰴕󰀡󰀡󱆣論󰀡

1.1 󰟻󰙂--------------------------------------------------------------------------------1 1.2 󰣴󰘲󰒞󰞑󱆶󰭏󱐒-----------------------------------------------------------------1󰀡

1.3󰀡󰀡󰐎󱝘󰓣󱟝-----------------------------------------------------------------------2 󰲃󰎒󰴕󰀡󰀡󰣴󰘲󰤙󰶳󰀡

󰀡󰀡󰀡󰀡󰀡󰀡2.1 PPG󰞑󰏟󰲏-----------------------------------------------------------------------4󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡 2.1.1 PPG󰟞󱀦󰞑󰦚理--------------------------------------------------------6󰀡󰀡󰀡󰀡󰀡󰀡󰀡2.2󰀡󰀡󰔾(󰐬)律神󰿶󰞑󰏟󰲏------------------------------------------------------------9󰀡󰀡󰀡󰀡󰀡󰀡󰀡2.3󰀡󰀡󰐈律󱡂異󰏩󰝋-------------------------------------------------------------------10󰀡󰀡󰀡󰀡󰀡󰀡󰀡2.4󰀡󰀡󰐈󱂝󱃙󰞑󰏟󰲏-------------------------------------------------------------------12󰀡󰲃󰎟󰴕󰀡󰀡󰣴󰘲󰐑󰝤󰀡

3.1 󰀡󰘳󰲍說󰜴-------------------------------------------------------------------------16󰀡

3.1.1󰀡󰀡󰸯󱡏󰢎󱄬Biopac MP30󰞑󰏟󰲏-----------------------------------16󰀡3.1.2 󰀡󱃴󱡍󰳛󰥀-------------------------------------------------------------17󰀡3.2󰀡󰀡󰳬󱡏󰲔󰔋-------------------------------------------------------------------------19󰀡

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

3.2.1󰀡󰀡PPG󰏩󰝋--------------------------------------------------------------19 3.2.2󰀡󰀡ECG󰏩󰝋-------------------------------------------------------------22󰀡

󰀡󰀡󰀡󰀡󰀡󰀡3.2.3 ECG󱆶PPG󰏐󰣬󱜢󰜄󰏩󰝋-------------------------------------------------25󰲃󰑤󰴕󰀡󰀡󱃴󱡍󰹈󰝀󰀡

󰀡󰀡󰀡󰀡󰀡󰀡4.1󰀡󰀡󱃴󱡍󰹈󰝀-------------------------------------------------------------------------27

4.2 󰹈󰝀󰯖󰫸-------------------------------------------------------------------------32 󰲃󰏖󰴕󰀡󰀡󰹈論󱆶󰒂來󰧖󰰈-------------------------------------------------------------------36󰀡參󰔵󰐎󱝘----------------------------------------------------------------------------------------37

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙󰒞錄󰀡

󱃙2-1 󰐈󱠌󰔏󱕭󰨔PPG󰟞󱀦󰝢󰗎󱃙(󰤆󰕅󰔔󱌕)---------------------------------------4󰀡󱃙2-2 󰐈󱠌󰹤󰮭󰨔󰜌量󰷳󰞑PPG󰟞󱀦(󰹋󰕅󰔔󱌕)------------------------------------5󰀡󱃙2-3 󰎋󰦁󰖹󱏾󰺼󰶺󰞑PPG󰟞󱀦(藍󰕅󰺀󱌕)-------------------------------------------5 󱃙2-4󰀡󰀡󰀡󰏸󰧔󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰟄󰥟)----------------------------------------6󰀡󱃙2-5 󱃙2-6󰀡󰀡󰀡󰤀󰳸󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙󱃙2-7 󱃙2-8 PPG󱃙2-9 AM󱃙2-10 󱃙2-11 ECG󱃙3-1󰀡󰀡󰀡󱃙3-2 󱃙󰀴󰀮󰀴󰀡󰀡󰀡󰑤󰦁󰳯󱁰󰞑󰫻󱀦󱃙󱃙3-4 PPG󱃙3-5󰀡󰀡󰀡󰘃󰚗󱃙3-6 󱃙3-7 󱃙3-8 PPG󱃙3-9 PPG󱃙3-10 PPG󱃙3-11 R-R󱃙3-12 ECG󱃙3-13 󰏸󰧔󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰲔󱙃󰏣󰳽)----------------------------------6󰀡(󰟄󰥟)----------------------------------------7󰀡󰤀󰳸󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰲔󱙃󰏣󰳽)----------------------------------7󰀡連󱞻󱡂󰏯󰝢󰗎------------------------------------------------------------------7 󱆶BL󰏐󰒢󰽀󱃙-----------------------------------------------------------------8 󰔾律神󰿶󰜭󱡏󰏣󰞑󰏩󰑲󱃙--------------------------------------------------------10 󰞑󰝢󰗎-------------------------------------------------------------------------13󰀡Biopac MP30󰟻󱆄󰥟󰝈------------------------------------------------------------16󰀡量󰷳󰐑󰔄󰒢󰽀󱃙--------------------------------------------------------------------18󰀡----------------------------------------------------------------19󰀡󰞑AM󰏷BL------------------------------------------------------------------20󰀡AM󰑳󰖡󰥶󰏐󰸳󰔄󰢎󱄬󱃙--------------------------------------------------20󰀡󰘃󰚗PPI󰏐󰸳󰔄󰢎󱄬󱃙-----------------------------------------------------------21󰀡󱙯󰶤󰔋PPG󰑄率󱓎󱛼󰏐󰸳󰔄󰢎󱄬󱃙-------------------------------------------21󰀡󰏐󰦚󰛈󰝢󰗎󱡉󰒢-------------------------------------------------------------21󰀡󰝢󰧝󰔿󰝢󰧝󰻔󰺯󰈐PPI󰈑----------------------------------------------------22 󰏐󰑄率󱓎󱛼--------------------------------------------------------------------22󰀡󰻔󰶺-----------------------------------------------------------------------------23󰀡󰏐󱓎󱛼󰏩󰑲󰒢󰽀󱃙----------------------------------------------------------23 󰘃󰚗ECG󰏐R-R󰻔󰺯󰸳󰔄󰢎󱄬󱃙---------------------------------------------23

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙3-14󰀡󰀡󱙯󰶤ECG󰏐R-R󰻔󰺯󰣁󰑄率󱓎󱛼󰞑󰸳󰔄󰢎󱄬󱃙---------------------------24󰀡󱃙3-15 ECG󰏍LF󱆶HF󰘃󰮳󱆶󰐚󰥶󰏐󰸳󰔄󰢎󱄬󱃙---------------------------------24 󱃙3-16 ECG󰏐󰦚󰛈󰝢󰗎-------------------------------------------------------------------24󰀡󱃙3-17 ECG󰏐R-R󰻔󰺯-------------------------------------------------------------------25󰀡󱃙3-18 ECG󰏐󰑄率󱓎󱛼-------------------------------------------------------------------25󰀡󱃙3-19 󰣬󱜢󰜄󰐚󱁨󰏐流󰸳-----------------------------------------------------------------25󰀡󱃙4-1 R-R󰻔󰺯󱆶PPI(󰷳󱁂󰞣1󱍴󰹱󰷳量)--------------------------------------------28󰀡󱃙4-2 R-R󰻔󰺯󱆶PPI(󰷳󱁂󰞣1󰪠󰹱󰷳量)--------------------------------------------29󰀡󱃙4-3 R-R󰻔󰺯󱆶PPI(󰷳󱁂󰞣1󰺲󰖹󰷳量)--------------------------------------------29󰀡󱃙4-4 ECG󱆶PPG󰣬󱜢󰜄󱃙󱀾----------------------------------------------------------33󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

vii

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰟄󰒞錄

󰟄1-1 ECG󱆶PPG󰏐󱓬󰪲󱗺󰐚󱁨-----------------------------------------------------------2󰀡󰟄4-1 ECG󱓎󱛼󰕥󱓎󰫈量󱆶PPG󰏐AM󰥶󱜢󰟯󰟄-----------------------------------27 󰟄4-2 ECG󱆶PPG󰐈󱁢󰺼󰶺󰣬󱜢󰟯數󰟄-----------------------------------------------30 󰟄4-3 ECG󱆶PPG󰑄率󱓎󱛼󰏐󰣬󱜢󰟯數󰟄-------------------------------------------31

viii

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲄󱀦說󰜴

XA󰁪󰭏󰫇󰕈󰰨󰔖󰨏󰖎󰔏󰟯數󰀡󰉆VA󰁪󰭏󰫇󰕈󰰨󱡏󱑈󰀡

γXY=󱊬󰒁󰣬󱜢󰟯數

sXY=󱊬󰒁󰓅󱡂異數 sX=X󰞑󱊬󰒁󱊱󰾗󰧡 sY=Y󰞑󱊬󰒁󱊱󰾗󰧡

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰏍󰤮󰐎󱃹󰾣󰟄

A󰁪

Amplitude (AM) ------PPG參數

Autonomic neural activity ------󰔾󰐬神󰿶󰢲󰭏度 B󰁪

Baseline (BL) ------PPG參數 Baroreceptor ------󰏸󱓸󰽂󰷳󱏔

Biopac Student Lab (BSL) ------Biopac MP30󰳬󱡏 Biopac Student Lab Pro (BSL Pro) ------Biopac MP30󰳬󱡏 C󰇺

Correlation coefficient󰀡󰀡------󰣬󱜢󰟯數 E󰁪

Electrocardiogram (ECG) ------󰐈󱂝󱃙󰀡Electro surgery ------󱂝療 F󰇺

Frequency domain ------󱓎󰭱 H󰁪

Heart rate variability (HRV) ------󰐈率󱡂異󰀁High frequency (HF) ------󰬯󱓎

High frequency power (HFP) ------󰬯󱓎󰑄率 L󰇺

Low frequency (LF) -------󰕥󱓎

Low frequency power (LFP) ------󰕥󱓎󰑄率 N󰇺

Nucleus Ambiguu󰁴󰀡(NA) ------󱅪󰨡

x

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

Normalized unit ------󰒅󰳕󰏯󰏐󰥶 P󰁪

Photoplethysmogram (PPG) ------󰓀󱡏󱑈󰶔󰥊󰟞󱀦󱈺

Pearson Product Moment correlation coefficient󰀡󰀡------󰒜󱅟󰷄󱑈󰪂󰣬󱜢󰟯數 Peak ------󰝢󰧝

Peak detect ------󰧝󰥶󱔠󰷳󱏔 P wave -------P󰝢 Q󰇺

QRS complex ------QRS󰝢󱀂 QT Interval ------QT󰻔󰺯 Q wave ------Q󰝢 R󰇺

R-R interval ------R-R󰻔󰺯 S󰇺

Sinoatrial node (SA node) ------󱝠󰜊󰹈 Standard deviation (SD) 󰐈󱁢󰶺󰻔󱊱󰾗󰧡 ST segment -------ST󰿯 T󰇺

T wave ------T󰝢

Total power (TP) ------󱕴󰑄率 Time domain ------󰨔󰭱 U󰇺

U wave ------U󰝢V V󰇺

Valley ------󰝢󰙃

Very low frequency󰀡(VLF) -------󰽵󰕥󱓎

xi

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲃󰎋󰴕 󱆣論

1.1 󰟻󰙂

󰒗󰜭󰞗󰽮󱅌󱅌󰘁󰓛󰬯󱞟󰏯󰇴󰒂來󰎜年󰇴󰓄󰱚󱙴療行󰽰󰇴󰒅󰳴󱅌󰮵󰈨󰐰󰝯療󰣁󰏍󰐈󰈩󰞑邏󱒠󱙯󱡂󰣁󰈨󰐰󰩰󰮻󰣁󰏍󰐈󰈩󰡘󱆢󰇴󰳭󰦁󰎱󱀦󰇴󰢂󰓄󰱚󰴨󰚀󰐶󰟄󰜄󰞑󰭯󱈞󰜄󱙴療󰳛󰴢󰧖󰇴󰏞年󱗌󰎕󰲃󰎐󰎜󰎋󰛛󰞑北󰤍󰜫󰧔󱙴療󰣽󱏢󰧖󰜌󰶜󰑀󰞑󰇴󰜴󱡉󰡰󰑀󰒂來󰎜年󰓄󰱚󱙴療行󰽰󰞑󰸧󰧖󰐑󰓛󰇴󰛚󰧎󰒔󰟥󰬼󱙴療󱏔󰗷󰮒󰖇󰱜󰬯󰵯度󱈡󰘃󰏷󰔋󰟏󰇴󰓆󰓆󱡉󰒢󰑀󰇴󰒂來󰎓󰥺󱃹󱏹󰕢󱙁便󰇵󰑄󰫈󰎓󰜄󰏯󱙴療󱈺󱏔󰞑󰷰󰘃[1]󰇶󰀡

󰒞󰟻󰐈󱂝󱃙(ECG)󰣁󰺑󰕗󰙊󱡏󰬼󰮨狀󰝩󱆶󰐈󱠌󰑄󰫈󰞑󰴨󰙫󰡰󱊱󰏐󰎋󰇴󰚁󰴨󰎵󱓬󱗺󰕻󰚁󰟚󰟟󰎕󰔄󰇴󰐪󰝢󰗎󰖹󱏾󰇴󰑑󰙮󱙴󰧣󰬺臨󰗉參󰔵󰇴󰜭󰢂󱉶󰣁󰎵󰱲󱋕󰞕󱆶󰙬󰒔[2]󰇴󰕠量󰷳󰐈󱂝󱃙󱈡󰤾󰙬󰒔󱏤󱂝󱌤󰬺󰣁󰵞󰏟󰇴󰙠󰮒󱏤󱂝󱂝󰽵󰺠󰓧󰫅󰳽󰇴󰻪󰸄󰕊󰞂󰟔󱂖󰇴󰐪量󰷳󰕏󰿼󰚙󰥛󰓧󰫅󰳽󰏷兩󰐋󰇴󱃹󰜭󰛚󰧎󱟈理來說󰣬󰾽不便󰇹󰣬󱁨󰏐󰎠󰇴󰓀󱡏󱑈󰶔󰥊󱏔(PPG)󰀡󰣁󰐰󰓀󰽂󰷳󰕈󱓸󱡂󰏯󰔶󰽂󱔈󰚉󰞑󰟞󱀦󰇴󱁨不󰚙󱂝󰾍󱚇󰫻󰏷󱂝󱅶󰏅󱘋󰇴󰐪󰑑󰷳量󰕏󰿼󱁨󰓭󰇵󰤀󱔎󰐑便󰇴󰣬󰓕󰗞󰳌󰒭󰑑󱁮󰒔󰓧󰭀󰷳󰕈󰨼󱐚度󰐑󰥟󰇴󱃹󰜭󰐒益󰸧󰧖󰞑󰛚󰧎󱙴療󱟈理來說󰇴PPG󰞑󰐑便󰜄󰣁󰚁󰴨󰎵󱓬󰼈󰇶󰀡

󰐈󱂝󱃙󰜌󰷳󰮳󰞑󰐈率󰇴󰟥留󰹱󰣬󰾽󰸳度󰞑󰐈率󱡂異󰜄󰇴󰔜󱆀󰣁󰐈率󱡂異󰜄(HRV)󰇶󰐈率󱡂異󰜄󰚙󰚥󰖎󰇵󰕈󱓸󰇵󱁮󰭏󰇵󱅵󰪀󰇵󰩯󰩰󰇵󱛰󰞂󰸻󰓢󰪨󱉹󱟜󰇴󰚁󰏍󰇴󰕈󱓸更󰢂󰐈率󱡂異󰞑󰎋󰻨󰥙󰤾󰏐󱍓󰯓󰓢󰎷󰇶󰭷󰒁󰎢󰇴󰐈率󱡂異󰑑󰏸󰢀󱡏󰏣󰔾󰐬神󰿶󰞑󰢲󰭏度(autonomic neural activity)󰇴󰢂󰟈󰑤󰎜年來󱋗󰟐󰞑󰣴󰘲[3]󰇶󱏢󰞣󰎨陸󱞻󰸧󰱜󰇴󰳚󰓭領󰭱󰚩󰐈率󱡂異󰮏切󰞑󱜢聯󰜄󰇴󰓵󰐈󰔼󰰒塞󰮻󰞣󰇴󰓵󰝀󰐈率󱡂異度󱡂󰎻󰇴󱂣󰡕󰳯󰮤󱁨󰣁不良󰇶󰒗󰜭PPG󰏐󰟞󱀦來󰔾󰜭󰚙󰷳󰞣󰏐󰡰󱆄󰒃󰰋󰕈流量󱡂󰏯󰇴󰓢󰔜󰷳󰮳󰏐󱡂󰏯󰚩󰐈率󱡂異󰧲󰧲󰣬󱜢󰇶󰀡

󰀡

1.2 󰣴󰘲󰒞󰞑󱆶󰭏󱐒

󰭷󰜭󰟻󰎋󰎻󰿯󰜌󰶔󰥊󰏐ECG量󰷳󰨔󰞑不便󰏐󰳀󰇴󰗚󰥺󰗆󰰈󰫈󰭼利󰒔PPG來󰬛󰓝󱇶󰕷ECG󰇴󰐰󱁲󰚉更󰐑便󰞑量󰷳󰨏󰝀󰇶󰓢󰔜󰒁󰣴󰘲󰐰ECG󰟞󱀦󱆶PPG󰟞󱀦󰣁󱒡

1

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰎕󰇴󰫶錄󰚙󰷳󰞣󰜌󰱢󰒓󰞑󰕈流量󰣬󱜢󰏐PPG󰟞󱀦󰇵󰫇󰽛󰝢󰞑󱡂󰏯󰇴󰐚󱁨󰣬󰓕󰠮󰼈󰨔󰐈率󱡂異󰜄󰇴󱁂󱃙󰗤󰑀PPG󰟞󱀦󱆶ECG󰟞󱀦󰏐󰣬󱜢󰜄󰙠󰬺󰏩󰝋󰇴󰯖󰫸PPG󰟞󱀦󰢂󰖁󰫈󰭼󰚗󰐶ECG󰇴󰶺󰡑󰒂來󰐰量󰷳󰐋󰡰󰒃󰸱󰏐󱓬󰼈󰇴󰚗󰐶󰐈󱂝󱃙󰷳量󰏐不便󰇶󰀡

󰟄1-1󰀡󰀡ECG󱆶PPG󰏐󱓬󰪲󱗺󰐚󱁨󰀡

ECG PPG 󰀲󰀯󰣬󱃹󰜭PPG󰇴󰱽󰭏󰱢󰒓󱚇󰫻󰏝󰑑󰭀󰷳󰀲󰀯󱁨不󰚙󱂝󰾍󱚇󰫻󰏷EMI󰏅󱘋󰀡󱓬

󰀳󰀯󰣬󱃹󰜭PPG󱁨不󰚙󰔼󱌥󰗎󱡂󰞑󱉹󱟜󰀡

󰀳󰀯󰽂󰷳󱆄󰟞󱀦󰜫󰎵󱂝路󰳛󰥀󱁨󱙁󰵂󰀡󰀴󰀯󰑑󰷳量󰕏󰿼󱁨󰓭󰇵󰤀󱔎󰐑便󰀡󰀵󰀯󰓕󱊬󰗞󰳌󰑑󱁮󰒔󰓧󰭀󰷳󰕈󰨼󱐚度󰀡

󱗺󰀡󰀴󰀯󱁨PPG省󱂝󰀡

󰀵󰀯󰝢󰗎󰖹󱏾󰑑󰙮臨󰗉󰺚󱘐󰙩󱏵󰀡

󰀲󰀯󰫻󱀦󰧒易󰚙󱂝󰾍󱚇󰫻50󰇵60Hz󰏅󱘋󰀡󰀲󰀯易󰚙󰱽󰭏󰨔󰱢󰒓󰞑󱚇󰫻󱉹󱟜󰀡󰀳󰀯󰽂󰷳󱆄󰟞󱀦󰜫󰎵󱂝路󰗞󰳌󱁨󱍄󱚇󰀡󰪲

󰀴󰀯量󰷳󰕏󰿼󰚙󰥛󰓧󰫅󰳽󰏷兩󰐋󰀡

󰀳󰀯易󰚙󰤙󰶳󰓀󰞑󱉹󱟜󰀡󰀴󰀯易󰚙󰔼󱌥󰗎󱡂量󰞑󱉹󱟜󰀡󰀵󰀯󱁨󰪻󱂝󰀡

󰀶󰀯󰝢󰗎󰑑󰶜󰙮󰺚󱘐󰞑󰙩󱏵󱁨󰏿󰀡

󱗺󰀡󰀵󰀯易󰚙󰔼󱌥󰲔󰗜󱉹󱟜󰳷󰔋󰟞󱀦󰫰󰷧󰀡

󰀶󰀯易󰚙󰒜󱌥󰯗󱝻狀󰝩󱉹󱟜󰇴󰳷󰔋󱒡󰎕󰟞󱀦󰾗󰕏󱞏󰱽󰇴󱂝路󰳀理󰖚󱜤󰀡

󰀡󰀡

1.3󰐎󱝘󰓣󱟝

󰓧󰯖󰫸󰐈󰕈󱆅󰵻󱕉󰘳󰲍󰞑󱜢󰟯󰟻󰇴󰥨󰓃󰤾󱃹󰐈󰕈󱆅󰵻󱕉󰘳󰲍󰣬󱜢󰞑󰒓理󰸱󰼾了󱀾󰇶󰒅󰮤󰐈率󰞑󰱢󰒓󰾍󰔾󱝠󰜊󰹈(Sinoatrial node󰇹SA node)󰇶SA node󰫈󰔾行󰸧󰑀󰐈󱠌󰞑󰿯律󰫻󱀦󰇴󰕠󰢂󰚙󰒬󰽂神󰿶󰚩󰬎󰙈神󰿶󰈐󰭋󰒬󰽂神󰿶󰈑󰞑󱍓󰯓󰇶󰐈󱠌󰞑󰒬󰽂神󰿶來󰔾󰫅󰳽󰞑󰒬󰽂神󰿶󰐬󰼸󰇴󰒬󰽂神󰿶󱑫󱏟󰨔󰐈率󰎢󰏲󰇴󰐇󰬆󰐈󱁢󰑃󰳲󰇴󰐈率󱡂異󱕭󰸭󰇴󰒭󰙬󰮳ECG󰞑RR󰻔󰶺(R-R interval)󱕭󰸭󰇹󰬎󰙈神󰿶󰟾󰾍󰔾󰜭󱀐󰼸󰞑󱅪󰨡(Nucleus Ambiguu󰁴󰇹NA)󰇴󱑫󱏟󰨔󰐈率降󰕥󰇴󰐈󱁢󱖿󱌗󰇴ECG󰏐RR󰻔󰶺󰒭󱉚󰑃󰇴󰓢󰔜󰔾󰐬神󰿶󰞑󰢲󰭏度󱃹󰎓󱡏󰐈率󰞑󱉹󱟜󰇴󰟚󰮤󰥙󰤾󰇴󰎨󰑑󰣮󰑀ECG

2

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰣬󱃹󰜭󰐈率󱡂異󰞑󰽀󱀀[4,5]󰇶󰀡

󰓧1939年󰨔󰇴Burtion󰙬󰒔󰓀󱌕󰞑󰭃󰧔󰩝󰜄󰇴󰒗󰳭󰙤󰭃󰗩󰙁度󰥀󱆉󰑀󰕈󱆅󰧩󰞑連󱞻󱡂󰏯󰝢󰗎󰇴󰸧󰱜󰒃󰰋󰕈󰰨󰵻󱕉󰘳󰲍󰞑󱜢󰟯󰜄󰇶󰓧󰎓󱡏󰞑󰒃󰰋󰐋󰡰󰳽󰒽󰇴󰐋󰡰󰕈󰰨󱡏󱑈󰚩󰔏󱕭󱓸󰇵󰫇󰽛󰢂󱆶󰒬󰽂神󰿶󰘳󰲍󰣬󱜢󰇶󱙖󰹱PPG󰞑󰓀󱏢󰩝󰜄󰇴󰸧󰱜了󰎓󱡏󰒃󰰋󰕈󰰨󰵻󱕉󰘳󰲍󰞑󱜢󰟯󰜄󰇶󰀡

󰓢󰔜󰓧󰛳󰡕數󰎜年󰏣󰇴PPG󰻒󰛈󰳏󱏢󰞣󱉶󰝱󱔈󰒔󰓧󰯖󰫸󰔾󰐬神󰿶󱆶󰵻󱕉󰏐󰻔󰞑󱜢聯󰜄󰇶󱂽󰢂2001年Nitzan󰜌󰬺󰞑切󰬨󰒬󰽂神󰿶󰇴󰐰󱢀󱃸󰭋󰒬󰽂神󰿶󰞑󰏸󱔈󰇴󰓆󰑃󰐰󰯖󰫸PPG󰜌󱘏󰚗󰚉󰞑參數BL(Baseline)󰥶󰇵AM(Amplitude)󰥶󰇴󰚁󰏩󰕱󱃹󱔈󰏐󰒓理󰽀󱀀󰇴󰒗󰔜󰑑󰣮󰑀PPG󰟞󱀦󱆶󰕈󱓸󰝢󰔖󰣬󰾽󰸳度󰞑󱜢聯󰜄[6,10]󰇶󰀡

臨󰗉󰎢󰑑󰐰󰧾來󰺑󰕗󰔾󰐬神󰿶󰢲󰭏度󰞑󰐑󰝤󰚁󱃴不󰓭󰇴利󰒔HRV󰯖󰫸󰔾󰐬神󰿶󰢲󰭏度󰇴󰢂󰒞󰟻󰏿數󰑑行󰞑󱔠󰢗󰇹更󰒗󰜭󰑬󰞑󰧒易󰭺行󰜄󱆶󰟚󰟟󰎕󰜄󰇴HRV󰏂󰿶󰔋󰣁󰺑󰕗󰒬󰽂󰚩󰭋󰒬󰽂神󰿶󰢲󰭏度󰞑󰥙󰤾󰐑󰝤󰇶󰩝󰕱󰢂󰈨󱓎󰭱󰏩󰝋󰝤󰈩󰞑󰬯󱓎(high frequency󰇹HF)󱆶󰕥󱓎(low frequency󰇹LF)󱓎󰢤󰇴更󰢂󰏸󰢀󰔾󰐬神󰿶󰢲󰭏度󰞑󰐶󰓜󰺒󰇴󰿶󱁸󰓭年󰞑󰣴󰘲󰇴󰎵󰤠󰑑󱘜󰪯󰣁󰐰󰎠󰵳󰦁󰩝󱗺[4,5,19]󰇺󰀡󰀡 1󰇷 HF󱓎󰢤󰭷󰒁󰎢󰏸󰢀󰭋󰒬󰽂神󰿶󰞑󰢲󰭏度󰇴󰚩󰚥󰖎󰞑󰭏󰕢󰔖󰮏切󰣬󱜢󰇶󰀡󰀡󰅏󰇷LF󱓎󰢤󰓕󰨔󰚙󰒬󰽂神󰿶󰚩󰭋󰒬󰽂神󰿶󱍓󰯓󰇴󰎨󱆶󰽂󱓸󰏸󰧔󱏔󰀡󰀡󰀡

(Baroreceptor)󰢲󰭏度󰔖󱜢󰇶󰀡

󰀡󰅐󰇷LF/HF󰐚󰥶󰏸󰢀󰒬󰽂神󰿶󱆶󰭋󰒬󰽂神󰿶󰞑󰑳󱑽󱜢󰟯󰇶󰀡󰀡󰅑󰇷LF/(LF+HF)󰏸󰢀󰒬󰽂神󰿶󰞑󰢲󰭏度󰇶󰀡

󰀡󰅒󰇷SDNN󰞑󰑳󰐑󰇴󰕻NN󰞑󱡂異數(variance)󰇴󰣬󰾽󰜭HRV󰞑󰓄󰳽󰑄率󰇶󰀡󰀡󰅓󰇷pNN50󰳯󰮤󰏸󰢀󰭋󰒬󰽂神󰿶󰞑󱍓󰯓󰇶󰀡

󰎢󰥊󰶜󰚉󰞑󰐎󱝘󰏍󰇴󰓭󰢂󱔈󰒔PPG󰏐量󰷳󰐑󰔄󰁤󰐬󰤾󰓧󰯖󰫸󰔾󰐬神󰿶󱆶󰵻󱕉󰏐󰻔󰞑󱜢聯󰇴󰜈󰢂󰣴󰘲󰐈律󱡂異󱆶ECG󰞑󰣬󱜢󰜄󰇴󰕠󱃹󰜭PPG󰣬󱃹󰜭ECG󰞑󱓬󰼈󱆶󰣬󱜢󰜄󰣴󰘲󰙠󰒂󰓭󰑃󰹱󱏀󰇴󰓢󰔜󰒁󰣴󰘲󰐬󰤾󰒞󰞑󰓧󰜭󰠼󱢀󰓦󰯖󰫸PPG󰟞󱀦󱆶ECG󰟞󱀦󰏐󰣬󱜢󰜄󰇴󰙠󰯖󰫸PPG󰟞󱀦󰢂󰖁󰫈󰭼󰚗󰐶ECG󰟞󱀦󰇴󰶺󰡑󰒂來󰐰PPG󰏐量󰷳󱓬󰼈󰇴󰚗󰐶󰐈󱂝󱃙󰷳量󰏐不便󰇶󰀡

3

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲃󰎒󰴕󰀡󰀡󰣴󰘲󰤙󰶳󰀡

2.1 PPG󰞑󰏟󰲏

PPG󰕈󱆅󰧒󱑈󱡂󰏯󰟞󱀦󰢂󰒗󰓀󱡏󱑈󰶔󰥊󱏔󰜌󰚗󰮳󰞑󰇴利󰒔󰓀󰽂󰷳󰏡󰒹󰖎󰔏󰓀󱌕󰫈量󰞑󰦚理󰇴󰫶錄󰓀󱌕󱡂󰏯󰔶󰽂󱔈󰮳󰚉󰞑󰟞󱀦󰇶󰾽󰐈󱠌󰽛󰭏󰺼󰶺󰇴󰙬󰕈󱆅󰏣󰵂󰕏󰥟󱑈󰞑󰕈流量󰗎󰔋󰺼󰶺󰜄󰞑󱡂󰏯[6,7]󰇴󰕈󰰨󱡏󱑈若󰢂󰱢󰒓󱡂󰭏󰨔󰇴󰓀󰽂󰷳󰏡󰒹󰮒󰽮󱒿󰹱󰕈󰰨󱡏󱑈󰞑󱡂󰏯󰔶󰽂󱔈󱂝󱓸󰇴󰓀󱌕󰖎󰔏󰴨󰓭󰞑󰨔󰶺󰦖󰓳󰢂󰐈󱠌󰔏󱕭󰞑󰨔󰶺󰇴󰓢󰔜PPG󰟞󱀦󰏐󰨁󰵯󰽮󱒿󰹱󰕈󰰨󰺾󰑀󰲔󱙃󰞑量󰔋󰒅󰐚󰞑󱡂󰏯󰇶󰀡

PPG󰞑󰟞󱀦󰢂󰒗兩󰳽󰏩󰜌󰓝󰔋󰞑󰇴󰒅󰮤󰯃󰝩󰎠󰾽󰐈󱠌󰔏󱕭󰨔󰇴󰐈󱠌󰽮󱃹󰓄󰙊󰕢󰑄󰇴󰳷󰔋󰕈󱆅󰏣󱓸力󱆶󰕈流󱡏󱑈󰱢󰒓󰺼󰶺連󱞻󰜄󰞑󱡂󰏯󰇴󰔜󰨔󰒗󰐋󰡰󰜌量󰷳󰚉󰞑PPG󰟞󱀦󰵩󰢂󰤆󰕅󰔔󱌕󰞑󰝢󰗎󰇴󰓵󱃙2-1󰜌󰒢󰇶󰀡

󱃙2-1 󰐈󱠌󰔏󱕭󰨔PPG󰟞󱀦󰝢󰗎󱃙(󰤆󰕅󰔔󱌕)[8]󰀡

󰀡

󰾽󰐈󱠌󰹤󰮭󰨔󱃹󰕈󱆅󰞑󱓸力󰣬󱃹󰜄󰞑󰷧󰏿󰇴󰔜󰨔󰎢󰎋󰔛󰐈󱠌󰔏󱕭󰜌󰑺󰑀󰞑󰕈󰰨󰇴󰿶󱁸󰵻󱕉󰡕󱊓󱔐󰐈󱠌󱒤󱌢󰔶󰙬󰮳󰕈󰰨󰔖󰏸󰗩󰞑󰱜󰺝󰇴󰔶󰒗󰐋󰡰󰜌量󰷳󰞑PPG󰝢󰗎󰵩󰽮󱂽󰹋󰕅󰔔󱌕󰓵󱃙2-2󰜌󰒢󰇶󰀡

4

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙2-2 󰐈󱠌󰹤󰮭󰨔󰜌量󰷳󰞑PPG󰟞󱀦(󰹋󰕅󰔔󱌕)[8]󰀡

󰜌󰐰󰎋󰦁󰖹󱏾󰺼󰶺󰞑PPG󰟞󱀦󱊳󰠠󰵩󰢂󰒗󰎢󰥊兩󱅿󰨏󱔈󱆕󰓝󰞑󰹈󰝀󰇴󰕻󱃙󰀳󰀮󰀴󰜌󰒢󰇴󰔶藍󰕅󰺀󱌕󰞑󰝢󰗎󰟾󰣁󰤆󰕅󱆶󰹋󰕅󰔔󱌕󰕢󱄙󱑈󰞑󰹈󰝀[7]󰇶󰀡

󱃙2-3 󰎋󰦁󰖹󱏾󰺼󰶺󰞑PPG󰟞󱀦(藍󰕅󰺀󱌕)[8]

󰒗󰎢󰥊󰹈󰝀󰑑󰐰󰮳󰞕󰇴󰎋󰦁󰖹󱏾󰞑PPG󰟞󱀦󰑅󰖖了󰐈󱠌󰔏󱕭󰐰󰏷󰕈󱆅󱏛󰒁󰙊󱓸力󰕢󰒔󰞑󱆕󰓝󰨏󱔈󰇴󰕠󰢂󰬨󰔜󰏐󰑦󰇴PPG󰟞󱀦󰓕󰨔󰚩󰕈󱓸󰎨󰓅󰓕󰚙󰚉󰔾律神󰿶󰘳󰲍󱆶󰕈󱆅󰒁󰙊狀󱄊(󰓵󰇺󰕈󱆅󰻩󱔈󰜄󰇵󰕈󰰨󱗹󰿨度󰸻)󰞑󱉹󱟜󰇴不󱁸PPG󰟞󱀦

5

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱆶󰕈󱓸󰏐󰻔󰞑󰣬󱃹󱜢󰟯󰏝󰸅󱆢󰡭不󱡂󰇶󰓢󰔜󰓧󰎵󰳽󰏩󰞑󰯃󰝩󰎠󰑑󰐰󰞔󰯗󰒗PPG󱆶󰕈󱓸󰞑󱃴󱡍數󱏵來󰏩󰝋兩󰞣󰏐󰻔󰞑󰛓󰜄󱜢󰟯[7,11]󰇶󰀡

2.1.1 PPG󰟞󱀦󰞑󰦚理

󰓧󰟻󰥊󰏍󰜌󰶜󰚉󰇴󰕈󱆅󰏍󰕈󰰨流󰭏󰽮󰚙󰚉󰐈󱠌󰽛󰭏󰞑󱉹󱟜󰇴󰓢󰔜󰱢󰒓󰺼󰶺󰜄󰞑󱡂󰏯󰇴󰺾󰔶󰳷󰔋󰕈󱓸󰺼󰶺󰜄󱡂󰏯󰇶󰓧󰵤󰔖󱉸󰜄󰞑󰕈󱆅󰏍󰓸󰓧連󱞻󰞑󱓸力󱡂󰏯󰇴󰼈󰑸󰽮󰳷󰔋󰕈󱆅󱆅󰧩󰓢󰣁󱓸力󰞑󰕢󰑄󰔶󰗯󱡂󰚁󰞔󰧩󰞑󰎵󰎻󰇴󰔶󰳭󱅿󰕈󱆅󱆅󰧩󰞑󱡂󰏯󰎨󰽮󰓢󰣁連󱞻󰕈󱓸󰞑󱉹󱟜󰖇󰱜連󱞻󰜄󰇶󰽃󰤾量󰷳󰔜󰞂理量󰇴󰒞󰟻󰴨󰮤󰙬󰒔󰞑󰐑󰝤󰵩󰢂利󰒔󰓀󱏢󱔠󰷳󰇴󰚁󰐑󰝤󰢂利󰒔󰕈󱆅󱆅󰧩󱡂󰏯󰨔󰽮󰳷󰔋󰗫󰧔󰓀󱌕󰞑󰭃󰗩󰇴󰓆󰒗󰳭󰙤󰭃󰗩󰞑󰙁度󰥀󱆉󰑀󰕈󱆅󱆅󰧩󰞑連󱞻󱡂󰏯󰝢󰗎󰇶󰀡

󱃙2-4󰣁󰏸󰧔󰔄󰓀󱏢󰽂󰷳󱏔󰇴LED󰜌󰸧󰑀󰞑󰓀󰗴󰽮󰓧󰩿󰒜󱉫󰏸󰧔󰔿󰽂󰷳󱏔󰇴󰓵󱃙2-5󰜌󰒢󰇹󰀡󰀡

󱃙2-4󰀡󰀡󰏸󰧔󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰟄󰥟)[7] 󰀡

󱃙2-5 󰏸󰧔󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰲔󱙃󰏣󰳽)[9]󰀡

6

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙2-6󰣁󰤀󰳸󰔄󰽂󰷳󱏔󰇴LED󰜌󰸧󰧔󰏐󰤆󰑦󱌕󰽮󰤀󱁸󰐋󰡰󰲔󱙃󰇴󰒗󰎠󰐑󰞑󰯗󰔏󱏔󰯗󰔏󰫻󱀦󰇶󰓢󰔜󰾽󰤆󰑦󰓀󰗫󰧔󰓧󰒜󱌥󰎢󰨔󰇴󰕈󰰨󰏍󰞑󰒛󰕈󰱚󱆶󰤆󰕈󰱚󰜌󰖎󰔏󰓀󱌕󰞑󰸳度不󰓕󰇴󰳷󰔋󰗫󰧔󰓀󱌕󰭃離󰓵󱃙2-7󰜌󰒢󰇴󰒗󰳭󰙤󰭃󰙁度󰥀󱆉󰑀󰕈󱆅󱆅󰧩󰞑連󱞻󱡂󰏯󰝢󰗎󰇴󰓵󱃙2-8󰜌󰒢󰇶󰀡

󱃙2-6󰀡󰀡󰤀󰳸󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰟄󰥟)[7]󰀡

󱃙2-7 󰤀󰳸󰔄󰕈󱆅󱆅󰧩󱡂󰏯󰭀󰷳󰒢󰽀󱃙(󰲔󱙃󰏣󰳽)[7]󰀡

󱃙2-8 PPG連󱞻󱡂󰏯󰝢󰗎[6]

󰒗󰔜󰑑󰞕PPG󰟞󱀦󰱢󰒓󰜭󰕈󰰨󰺾󰑀󰲔󱙃(Tissue)󰨔󰜌󰱢󰒓󰞑󰕈󰰨󱡏󱑈󰞑󱡂󰏯󰇶󱃙2-9󰣁󰘂󰦁󰖹󱏾󰺼󰶺󰝢󰞑󰩝󱉻參數AM󱆶BL󰁤AM󱃹󱔈󰒓理󰽀󱀀󰣁󰭏󰫇

7

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰕈󱓸󰞑󰻩󱔈󰜄󰇴󰒗󰜭󰐈󱠌󰔏󱕭󰶺󰻔󰜌󰳷󰔋󰲔󱙃󰕈󰰨󱡏󱑈󱉚󰑃󰮒󰽮󰗎󰔋AM󰑀󰱜󰴨󰎵󰨁󰵯󰇹󰔶BL󱆶󰭏󰫇󰕈󰰨󱡏󱑈󰔖󱜢󰕠󰢂󱆶󰲔󱙃󰕈󰰨󰧒量󰔋󰏸󰣬󱜢󰇴󰓧󰹤󰮭󰒃󰶺󰧒󱑈󰞑󰨔󰦂BL󰽮󰑀󰱜󰴨󰎵󰨁󰵯󰇴󰚁兩󰞣󱜢󰟯󰓵(2-1)󰔄[10]󰇺󰀁

AM / BL=XA ×󰉆VA (2-1)

XA󰁪󰭏󰫇󰕈󰰨󰔖󰨏󰖎󰔏󰟯數󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰉆VA󰁪󰭏󰫇󰕈󰰨󱡏󱑈󰀡

BL

Min Max AM 󰀡󰀡󰀡󰀡

󱃙2-9 AM󱆶BL󰏐󰒢󰽀󱃙[10]

󰀉BL󰁪󰝢󰏐󰴨󰎵󰥶󰇴AM󰁪󰝢󰏐󰴨󰎵󰥶󱆶󰴨󰎻󰥶󰞑󰧡󰀊󰀁

󰀁

󰓢󰣁PPG󰟞󱀦󰢂利󰒔󰓀󱏢󰽂󰷳󱏔量󰷳󰎓󱡏󰒃󰸱󰼾󰕈󱆅󰞑󱆅󰧩󱡂󰏯󰇴󰔖󰟚󰟟󰎕󰔄󰚩量󰷳󰐑便󰞑󱓬󰼈󰇴󰔶󰪲󱗺󰟾󰢂󰧒易󰚙󰚉󰑦󰣚󱚇󰫻󰏅󱘋󰚁󰝢󰗎󰇶󰔜󰑦󰇴󱡏󰾕󰎨󰽮󱉹󱟜󰚬󱜐󰕈󱆅󰞑狀󱄊󰇴若󰢂󱡏󰾕󱡂󰭏󰵯度󰏼󰎵󰇴PPG󰞑󰾗󱋴度󰎨󰽮降󰕥󰇶󰔶󱃹󰕈󱆅󰸯󰏯󰞑󰮻󰞣󰔶󰙂󰇴󱗨󰸅󰕈󱆅󰞑󱆅󰧩󱡂󰏯󰐚󱁨不󰜴󱡉󰇴󰕠󰏝󰑑󰷳󰮳PPG󰞑󰝢󰗎󰇴󰐰󰕢󰣁參󰔵[6,7]󰇶

󰀡

8

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

2.2󰀡󰔾󰀩󰐬󰀪律神󰿶󰞑󰏟󰲏󰀡

󰀡

󰔾律神󰿶󰘳󰲍󰢂󰎓󱡏󱆢󰡭󰡡󰛓󰞑󰥙󰤾󰘳󰲍󰇴󰎋󰫓來說󰇴󰔾律神󰿶󰐬󱆅󰙊󱡏󰎵

󰳽󰏩󰏣󱠌󱆶󱏔󰛔󰞑󱁮󰕢󱆶󰑄󰫈󰇴󰚁󰑅󰡴󰇺󰐈󰇵󰞤󰇵󰘷󰇵󰤗󰇵󰹝󰚩󱀉󱁰󰸻󰇴󰓵󱃙2-10󰜌󰒢󰇶󰙠󱆶󱡏󰾕󱍓󰿯󰇵󰕈󱓸󰐈󱁢󰇵󰏣󰏩泌󰏷󰯃󱆣󰟄󰱜󰧲󰧲󰣬󱜢󰇴󰚁󰐬󰤾󰑄󰒔󰢂󰒔來󱆢󰡭󰎓󱡏󰞑󰡡󰛓󰇴󰙠󰑳󱑽󰑦󰓧󰞑󱓸力󰇶󰸅󰔶󰇴󰔾律神󰿶󱃹󰓚󱏔󰛔󰞑󱍓󰿯󰏍󰇴󰐰󰐈󱠌󱍓󰿯󰴨󰣁󰥙󰤾[12,13]󰇶󰀡

󰒬󰽂神󰿶󰘳󰲍󰢂󰔾󰐬神󰿶󰘳󰲍󰞑󰎋󰐍󰇴󱙖󰹱󰯓󰚋󰕈󱆅󰞑󰑳滑󰔼󰇴󰚁󰐬󰤾󰑄󰫈󰢂󰼾󱍓󰎻󰭏󰫇󰕈󱆅󰞑󰎱󰧩󰇴󰔶󰫈󰙐󰳲󱍓󰿯󱃹󰓚󰲔󱙃󰞑󰕈󰰨󱞲流量󰇴󰐰󱅈󰙉󰎓󱡏行󰣁󰨔󰓚󱏔󰛔󰽥󰴋󰐶󱖴󰞑󱈡󰘃󰇶󰣁了󰫈󱒿󰨔󰼾󱍓󰎻󰭏󰫇󰕈󱆅󰞑󰎱󰧩󰇴󰒬󰽂神󰿶󰘳󰲍󰕻󰙬󰓧󰎓󰳀󰜭󰓼󱓉狀󱄊󰨔󰇴󰏝󰫈󰱢󰒓󰎋󰛓󰸳度󰞑󰭏力󰇴󱡣󰎻󰭏󰫇󱆢󰡭󰔏󱕭󰜈󰹤󰮭󰇴󰳭󱊬󰞑󱍓󰯓󱐒󰚋󰙬󰮳󰎻󰭏󰫇󰕈󱆅󰞑󰎱󰧩󰫈󰓢󱔈󰲔󱙃󰐶󱖴󰞑󱈡󰘃󰇴󰺾󰔶󰺾行󰔏󱕭󰜈󰹤󰮭󰭏󰕢[12,13]󰇶󰀡

󰓧󰒅󰮤󰞑󰒓理狀󱄊󰎠󰇴󰒬󰽂神󰿶󰘳󰲍󰖇󰱜󱆶󰐈律󰇵󰚥󰖎󱓎率󰣬󰓕󰞑󰿯律󰝢󰭏󰇹󰒬󰽂神󰿶󰞑󰢲󰜄󰓧󰐈󰔏󱕭󰶺󰏷󰖎󰨻󰨔󰚉󱁲󰝢󰧝󰇴󰓧󰐈󰹤󰮭󰶺󰏷󰖎󰨻󰒃󰶺󰜈󰚥󰨻󰟃󰶺󰚉󱁲󰝢󰙃[12,13]󰇶󰀡

󰒬󰽂神󰿶󰽮刺󱐟󰐈󱁢󰑃󰳲󰇴󰭋󰒬󰽂神󰿶󰽮󰙬󰐈󰽛󰷧󱌗󰇴刺󱐟󰩃󰏯󰘳󰞑󰢲󰭏󰇶󰓢󰔜󰇴󰒬󰽂神󰿶󱆶󰭋󰒬󰽂神󰿶󰣬󰏕󰬛󰓝󰇴󰐰󰳷󰔋󰎓󱡏󰒓理󰏸󱔈󱆶󱆢󰡭󰎓󱡏󰑳󱑽󰏐󰡡󰛓[12,13]󰇶󰀡

9

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󱃙2-10󰀡󰀡󰔾律神󰿶󰜭󱡏󰏣󰞑󰏩󰑲󱃙[17]󰀡

󰀡

2.3 󰀡󰐈率󱡂異󰏩󰝋󰀡

󰐈率󱡂異󰏩󰝋󰒗󰜭󰚁󰟚󰟟󰎕󰜄󰇵󰑑󰐰󰛓量󰏷󰏩󱒣󰒬󰽂󱆶󰭋󰒬󰽂神󰿶󰢲󰜄󰸻󱓬󱗺󰇴󰟈年來󰚙󰚉󰥙󰺎󰇴󰢂󰒞󰟻󰳏󰏦󱇡󰺑󰕗󰔾律神󰿶󰴨󰙫󰞑󰐑󰝤󰏐󰎋󰇶󰾽󰙊󱡏󰥟󱃹󰏣󰓧󱆶󰑦󰓧󱕉󱃜󰞑󱡂󰏯󰨔󰇴󰒬󰽂神󰿶󱆶󰭋󰒬󰽂神󰿶󰣬󰏕󰕢󰒔󰡕󰇴󰳸󱁸󱝠󰜊󰹈󱏾󰓝󰇴󰽮󱒿󰔾󰐬神󰿶󰞑󰭏󱄊󰑳󱑽󰔶不󰬶󰓦󰗯󱡂󰐈率󰇴󰓢󰔜󰔾律神󰿶󰢂󰙊󱡏󰥟󱃹󱡂󰏯󰴨󰙐󰳲󰔖󰨏󰞑󱍓󰯓󱐒󰚋󰇶󰀡

󰻺󰲍󰐈率󱡂異󰣴󰘲󰎵都󰯦󰒔󱓎󱛼󰏩󰝋󰞑󰐑󰝤󰇴󰕥󱓎󰭔󰢤󰐬󰤾󰐶󰟄󰒃󰰋󰕈󱆅󰹤󱕭󰮭力󰞑󱍓󰿯󰏷󰒬󰽂神󰿶󰞑󰢲󱟌󰜄󰇴󰏍󱓎󰭔󰐬󰤾󰏸󱔈󱓸力󰚙󱏔󰽂󱓸󰏸󰧔󰏐󱍓󰯓󰇴󰙠󱆶󱡏󰏣󰡡󰛓󰔖󱜢󰇴󰔶󰬯󱓎󰭔󰢤󰟾󰟄󰱜󰭋󰒬󰽂神󰿶󰞑󰢲󰜄󰇴󰙠󱆶󰚥󰖎󰔖󱜢󰇶󰀡

󰐰󰺑󰕗󰭋󰒬󰽂神󰿶󰑄󰫈󰣁󰡰󱊱󰞑󰣬󱜢󰣴󰘲󱡉󰒢󰇴󰾽󰸧󰒓󰐈󰕈󱆅󰑄󰫈不󰓄󰨔󰇴󰓵󰟷狀󰭏󰫇󰩯󰩰󰇵󰐈󰔼󰰒塞󰇵糖尿󰩰󰇵󰬯󰕈󱓸󰇵󰐈󱠌󰫰󱆃󰏷老󰏯󰸻󰇴󰭋󰒬󰽂神󰿶󰢲󰜄󰽮󰜴󱡉降󰕥󰇴󰓕󰨔󰐈率󱡂異󰏩󰝋󱃹󰐈󱠌󰸧󰩰󰞑󱂣󰷳󰏷󰺑󰕗󰐈󱠌󰩰󱘰󰡕󰚀󰔖󰡰󱊱󰜄󰞑󰽀󱀀[12,13]󰇶󰀡

10

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰐈率󱡂異󰐬󰤾󰚙󰚉兩󰦁󰓢󰪨󰞑󱉹󱟜󰇴󰎋󰢂󱝠󰜊󰿯󰿯律󰲒󰤝󰞑󰜫󱂝󱓎率󱉹󱟜󰇴󰎒󰢂󰔾律神󰿶󰘳󰲍󰞑󱍓󰯓󰇶󰚁󰏍󱝠󰜊󰹈󰞑󰭷󰒁󰜫󱂝󱓎率󰢂󰚰󰛓󰞑󰇴不󰽮󱒿󰹱󱕉󱃜󰞑󱡂異來󰗯󱡂󰇹󰔾律神󰿶󰘳󰲍󰟾󰽮󱒿󱡏󰏣󰡡󰛓󰞑󱈡󰤾󰑃󰳲󰜈󰷧󱌗󱝠󰜊󰹈󰞑󰜫󱂝󰳲率󰇴󰙬󰐈率󰲄󰓝󰎓󱡏󰞑󱈡󰤾󰎢󰏲󰜈󰎠降[13,14]󰇶󰀡

󰎋󰫓󰔶󰙂󰇴󰐈律󱡂異󰐬󰤾󰑑󰐰󰏩󰣁󰨔󰭱(time domain)󰜈󰢂󱓎󰭱(frequency domain)來󰏩󰝋󰇶󰨔󰭱󰏩󰝋󰐬󰤾󰢂󰥀󱆉󰐈󱁢󰻔󰶺󰞑󰑳󰖡󰥶(mean)󰇵󰐈󱁢󰻔󰶺󰞑󱊱󰾗󰧡(standard deviation SD)󱆶󰐈律󱡂異󱃹數󰡰󱊱(HRVI)󰸻󰇶󱓎󰭱󰏩󰝋󰟾󰢂󰐈󱁢󰶺󰻔󱃹󰵂󰕏󰨔󰻔󰞑󱡂󰭏󰫻󱀦󰕢󰴡利葉󰧖󰻒󰇴󰚁󰮮度󰣁󰔜󱓎率󰚄數󰨁󰵯󰞑󰑳󰐑󰇴󰗢󰨁󰵯󰞑󰑳󰐑󰇴󰗢󰨁󰵯󰞑󰣬󱃹󰮮度󰙩󰵂󰕏󰨔󰻔量󰏯[14]󰇶

󱢀󱃸󰐈律󱡂異󰟞󱀦󰓧󱓎󱛼󰎠󰞑󰏩󰕩󰯃󰗎󰇴󰑑󰐰󰓧0Hz󰔿0.5Hz󰏐󰻔󰗤󰚉數󰦁󰝢󰧝󰇴󰓧󰎋󰙤󰣬󱜢󰣴󰘲󰏍󰑑󰐰參󰔵󰞑󰏸󱔈󱓎󰮥󰑑󰎵略󰭔󰏩󰣁󰎟󰦁󰭔󰭱󰇴󰚁󰏍󰕥󱓎󰭔󰏩󰕩󰜭0.02~0.09Hz󰇴󰚁󰹈󰝀來󰔾󰒃󰸱󰕈󱆅󰹤󱕭󰮭力󰞑󱍓󰿯󰏷󰔾律神󰿶󰘳󰲍󰞑󱍓󰯓󰇹󰏍󱓎󰳽󰏩󰏩󰕩󰜭0.09~0.15Hz󰑰󰑓󰇴來󰔾󰜭󱓸力󰚙󱏔󰞑󰽂󱓸󰏸󰧔󱍓󰯓󰇴󱆶󱡏󰏣󰡡󰛓󰔖󱜢󰇹󰬯󱓎󰳽󰏩󰏩󰕩󰜭0.03Hz󰑰󰑓󰇴󰚁󰏸󱔈󰭋󰒬󰽂神󰿶󰞑󰢲󰜄󰇴󱆶󰚥󰖎󰔖󱜢󰇴󰐬󰧝󱓎率󰕻󰣁󰚥󰖎󱓎率󰇴󰔶󰐬󰧝󰕏󰿼󰽮󱒿󰚥󱓎率󰞑󰗯󱡂󰔶󰱽󰭏󰇶󰕥󰜭0.02Hz󰐰󰎠󰞑󱓎󱛼󱌄󰵎󱆀󰏐󰣁󰽵󰕥󱓎󰭔(very low frequency󰇹VLF)󰇴󰔜󰭔󰭱󰞑󰐈律󱓎󱛼󰔖󰹱1/f󱓎󱛼󰞑󰩝󰜄󰇴󱆶神󰿶󰘳󰲍󰞑󰓣󰯤󰯓󰚋󰔖󱜢[14]󰇶

󰑄率󱓎󱛼󰔔󱌕󰎠󰞑󰥟󱑈󰑑󰺎󰣁󱓎率󰏸󱔈󰞑󰑄率󰇴󰔔󱌕󰎠󰞑󰥟󱑈󱕴󰓝󰕻󰣁󱕴󰑄率(total power , TP)󰇴󰕥󱓎󰭔󰞑󰏸󱔈󰑄率󱆀󰏐󰣁󰕥󱓎󰑄率(low frequency power , LFP)󰇴󰬯󱓎󰭔󰟾󱆀󰣁󰬯󱓎󰑄率(high frequency power , HFP)󰇶󰕥󱓎󰑄率󰎵󰎻󰑑󰺎󰣁󰒬󰽂神󰿶󰑄󰫈󰞑󰡰󱊱󰇴󰬯󱓎󰑄率󰞑󰎵󰎻󰑑󰺎󰣁󰭋󰒬󰽂神󰿶󰑄󰫈󰡰󱊱󰇴󰔶󰕥󰬯󱓎󰑄率󰐚󰟾󰑑󰒔󰜭󰺑󰕗󰒬󰽂󱆶󰭋󰒬󰽂神󰿶󱍓󰯓狀󰝩[14]󰇶

󰸭󰨔󰫶錄󰞑󱓎󱛼󰔋󰏩󰇴VLF󰇵LF󰇵HF󰎟󰦁󰳽󰒽󰇴󰑄率󰞑󰏩󰕩󱆶LF󰇵HF󰞑󰏍󰻔󱓎率󰙠󰟚󰚰󰛓不󱡂󰇴󰔶󰢂󰑑󰫈󱒿󰹱󰔾󰐬神󰿶󰞑󱍓󰯓󰔶󰳷󰔋󰐈率󱡂󰏯󰇶VLF 󰞑󰔋󰏩󰞑󰒓理󱀾󱞉󱁨󰏿󰳏󰛓󱀀󰇴󰐪󰢂󰳏󱍦󱅪󰚁PSD󰞑󰝙󱞉[14]󰇶󰀡

󰀡

11

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

VLF󰇵LF󰇵HF󰞑󰑄率󰳯󰮤󰢂󰐰󰹊󱃹󰥶(sec 2 /Hz)來󰥀󱆉󰇶LFP󱆶HFP󰎨󰑑󰐰󰒔󰒅󰳕󰏯(normalized unit)󰞑󰥶來󰟄󰒢󰇴󰣁(2-2)󰔄[14]󰇺󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡LF(HF)n.u=

LF(HF)power

×100% (2-2)

Totalpower−VLFpower

LF󱆶HF󰞑󰑄率󰓧󰒅󰳕󰏯󰡕󰞑󰟄󰒢󰮮󱍓󰔾󰐬神󰿶󰘳󰲍󰞑󰒬󰽂󰭋󰒬󰽂神󰿶󰯓󰚋󱆶󰑳󱑽󰞑󱐒󰚋行󰣁󰇴󰐰󰏷󰕢󰣁󰺑󰕗LF(HF)󰑄率󱃹󱕴󰑄率󰞑󰣬󱃹󰥶󰇹󰣁了󰖹󱏾󰶔󰥊󰑄率󰞑󱓎󱛼󰏩󰕩󰹊󱃹󰥶󱈡󱆶󰒅󰳕󰏯󰥶都󰓕󰨔󰥀󱆉󰐰󰙮󰐚󱁨參󰔵[14]󰇶󰀡

󰀡󰀡

2.4󰀡ECG󰞑󰏟󰲏󰀡

󰐈󱠌󰚀󰔖󰔾󰐬󰜄󰇵󱑫󱏟󰻺󱏤󰜄󰏷󰔏󱕭󰜄󰇴󰡺利󰒔󱂝流󰻺󱏤󰱜󰺝󱆶󰦚理來󰳛󰥀

ECG󰇶ECG󰢂󰳸󱁸󰐈󱠌󰔏󱕭󱆶󱘉󰮭󰨔󰱢󰒓󰞑󰼾󰎻󱂝流流󰿶󰓄󰙊󰇴󱙖󰒗󰐋󱀌󰜫󰿼󰞑金󱞦󱂝󰽵󰯗󱝻󰎓󱡏󰟄󰥟󰇴來󰫶錄󰐈󱠌󱂝󰜄󰢲󰭏󰞑󰤇錄󱃙󰗎󰇶󰓢󰣁󰙊󱡏󰣁良󰓳󱏤󱡏󰇴󰜭󰢂󰑑󰐰󰮵金󱞦󱂝󰽵󰜌󰫶錄󰞑ECG󰇴來了󱀾󰐈󰔼神󰿶󱠼󱆢󰞑󰭏󰕢󱂝󰕏󱡂󰭏狀󰝩[15]󰇶󰀡

󰙩󰾣ECG󰞑󰝢󰗎󱡂󰏯󰬆󰒷󰇴󱙴󰒓󰑑了󱀾󰐈󱠌󰞑神󰿶󰇵󰕈󱆅󰏷󰔼󰔺󰞑󱡂󰏯󰇴󰒭󰑑󰒔來󱅱󰷳󰏷󰯢󰷳󰐈󱠌󰩯󰩰󰇴󰑑󱘜󰪯󰣁󰐰󰎠󰵳󰻨󰇺󰿯律󱈝󱛖󰇵󰐈󰔼󰪲󰨼󰇵󰐈󰔼󰰒塞󰇵󰐈󰜊󰏷󰐈󰠻󰞥󰎵󰇵󰐈󱠌󱛰󰞂󰞑󱅱󰷳󰇵󰐈󱠌󱅱󰷳󰇵󰬼󰮨狀󰝩󰞑󰺑󰕗󰸻󰇶󰎋󰫓󰐈󱂝󱃙󰯦󰓼󱓉狀󱄊󱔠󰢗󰇴󰕠󰎨󰔖󰓃󰬺󱍾度󱁮󰭏󰓆󱔠󰢗󰢂󰖁󰔖󰐈󰔼󰪲󰨼󰇴󰔜󰕻󰣁󰥄󰲻󰐈󱂝󱃙󰈐loading ECG󰈑󰜈󱁮󰭏󰐈󱂝󱃙󰇹󰢌󰙤󰸧󰒓󰜭󰭏󰕢狀󱄊󰎠󰞑󰐈󱠌󰩰󰩱狀󰇴󰡐󱜤󰒗󰓼󱓉󰨔󰷳󰮳󰞑󰐈󱂝󱃙󰕲讀󰑀來󰇴󰓵󰩟󰐈󰩱[15]󰇶󰀡

12

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙2-11 ECG󰞑󰝢󰗎󰇴󰏩󰣁P Wave󰀡󰇴QRS complex󰀡󰇴T 󰝢󰏷U󰝢[18]󰀡

󰀡󰀡

1󰇵 P󰝢󰈐P wave󰈑󰇺󰀡

󰐶󰟄󰐈󰜊󰏐󰑐󰽵󰝢󰇴󰟄󰱜󰐈󰜊󰻺󰚉󰜊󰠻󰹈󰠻󰞑󰝢󰗎󰇶󰐈󱂝󱃙󱇨󱏤󰏐󰀡

P󰝢󱂝󰕏󰒅󰮤󰎻󰜭2.5mV󰇴󰨔󰻔󰤊0.06~0.10󰣾󰇴󰓧aVR󰑸󰣁󰥄󰝢󰇴aVF󰑸󰣁󰒅󰝢󰇶󰀡

2󰇵QRS󰝢󱀂󰈐QRS complex󰈑󰇺󰀡

󰐶󰟄󰐈󰠻󰑐󰽵󰏯󰝢󰗎󰇶󰒅󰮤󰏐QRS󰝢󰗎󰨔󰻔󰤊0.08~0.10󰣾󰇴QRS 󰀡󰺷󰓛󰒅󰮤󰣁󰥄30度󰚉󰒅100度󰇶󰀡

3󰇵󰌍󰝢󰈐Q wave󰈑󰇺󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰒅󰮤󰎻󰜭0.04󰣾󱉨󰇴󰱁度󰻪󰏿󰜭󰓕󱇨󱏤󰏐QRS󰬯󰏐25%󰇶󰀡

4󰇵ST󰿯󰈐ST segment󰈑󰇺󰀡

󰟄󰐈󰠻󰑐󰽵󰏯󰹈󰗴󰚉󰓆󰽵󰏯󰻒󰛈󰞑󰨔󰻔󰇴󰒅󰮤ST󰿯󰚩󰭷󱌕󰓕󰎋󰐝󰀡󰑳󰇶󰀡

5󰇵R-R󰻔󰺯󰈐R-R Interval󰈑󰇺󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰮵󰎋󰦁R󰝢󰚉󰎠󰎋󰦁R󰝢󰞑󰻔󰺯󰇴󰓧󰐈率󰳕󰟾󰞑󰯃󰝩󰎠󰇴󰑑󰒔󰜭󰀡

13

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰶤󱆉󰐈󰳲率󰇹󰐈率不󰳕󰟾󰟾󰒔󰑳󰖡󰥶來󰥀󱆉󰐈󱁢󰳲率󰇶󰒅󰮤󰔋󰎓R-R 󰻔󰺯󰣁0.6~1.0󰣾󰇶󰀡

6󰇵QT󰻔󰺯󰈐QT Interval󰈑󰇺󰀡

󰮵QRS󰝢󰏐󰻒󰛈󰚉T󰝢󰡠復󰭷󱌕󰏐󰨔󰻔󰇴󰐶󰟄󰐈󰠻󱑫󱏟󰚉󰩃󰬏󰇴󰀡󰒭󰢂󰐈󰠻󰑐󰽵󰏯󰚉󰓆󰽵󰏯󰹈󰗴󰏐󰨔󰻔󰇶QT󰻔󰺯󱒿󰐈󱠌󰳲率󰔶異󰇴󰻪󱆶󰐈󱁢󰳲率󰨠󰒅󰇴󰕻󰣁󰨠󰒅QT󰻔󰺯󰈐QTc󰈑󰇴󰏦󰔄󰣁(2-3)󰔄󰇶󰒅󰮤

QTc󰻔󰺯󰑳󰖡󰣁0.35~0.44󰣾󰇶 QT QTc = (2-3) QTc = 󰃕󰀳󰀳 󰇺󰀡7󰇵T󰝢󰈐T wave󰈑

󰐈󰠻󰓆󰽵󰏯󰞑󰝢󰗎󰇴󰳯󰮤󰚩QRS󰝢󰞑󰓛󰎢󰜈󰓛󰎠󰔖󰎋󰤠󰜄󰇴󰨁󰀡󰵯󰓧5mm󰐰󰎠󰇴T󰝢󰨔󰻔󱒿󰐈率󰔶異󰇴󰤊0.10~0.25󰣾󰇴󰐈󱂝󱃙󱇨󱏤󰏐T󰝢󱂝󰕏󰒅󰮤󰎻󰜭0.5mV󰇶󰀡󰀡

8󰇵U󰝢󰈐U wave󰈑󰇺󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰑑󰫈來󰔾󰐈󰠻󰙢󱓐󰔼󱑫󱏟󰓣󱙟󰶺󰇴󰜈󱇀金󰐜󰻺󱏤󰘳󰲍󰓆󰽵󰏯󱁸󰸳󰀡󰀡󰀡󰀡󰀡󰀡󰀡󱒨󱌗󰞑󰹈󰝀󰇴󰎞󱆀󰏐󰡕󱂝󰕏󰝢󰇴󰬆󰾍不󰜴󰇶󰒅󰮤󰣁󰎻󰼝󰞑󰓛󰎢󰝢󰇴󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰤊󰣁󰓕󱇨󱏤T󰝢󰞑5-25%󰇶[15]

󰀡󰀡󰀡󰀡󰎓󱡏󰐈󱠌󱁢󰭏󰨔󰇴󰐈󱂝󱃙󰖇󰱜󰞑R-R󰻔󰺯󰙠󰘒󰔖󰎋󰛓󰞑󰎵󰎻󰇴󰵩󱆉󰢂󱍴󰞮󰒶󰧲󰨔󰞑R-R󰻔󰺯󰎨󰔖󰩝󰛓󰞑󱡂󰭏󰯃󰗎󰇺󰈨󰎵󰤊󰘂10󰔿12󰣾󱞊󰎋󰦁󱡂󰭏󰺼󰶺(󱓉󱄊󰒶󰧲)󰈩󰇶󱒿󰹱年󱞟󰧡異󰇵󰙊󱡏󰠮󰼈󰇵󰐈󰯃󱡂󰏯󰇵󰑦󰓧󱕉󱃜󰸻󱡂󰻨󰞑󰗯󱡂󰇴RR󰻔󰺯󱡂󰭏󰺼󰶺󰞑󱓎率󰈐󰨔󰻔󰟏󰸭󰈑󰇵󰨁󰵯󰈐󰐈󱁢率󰬯󰕥󰈑󰎨󰽮󰔖󰜌不󰓕󰇶󰀡󰀡󰀡󰎋󰫓來說󰇴22󰾃󰞑󰬼󰮨󰘪󰜄󰇴󰓼󱓉󰒶󰧲󰨔󰞑10󰣾󱞊󰏣󰇴󰐈󱁢率󱡂󰭏󰑑󰫈󱁲󰚉󰘂󰏩󱞊15󰔛󰐰󰎢󰇹79󰾃󰬼󰮨󰘪󰜄󰞑󱡂󰭏󰟾󰑑󰫈󰏿󰜭󰘂󰏩󱞊5󰔛󰇶󰎓󱡏󰐈󱠌󱁢󰭏󰞑󱡂󰭏󰯃󰗎󰇴󰐬󰤾󰚙󰚉󰒬󰽂神󰿶󰘳󰲍󱆶󰭋󰒬󰽂神󰿶󰘳󰲍󰞑󱍓󰿯󰇴󰗎󰔋󰎢󰎠󱡂󰭏󰞑󰺼󰶺󱡂󰏯[16]󰇶󰀡

14

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡󰎓󱡏󰓼󱓉󰒶󰧲󰨔󰇴󰢂󰐰󰭋󰒬󰽂神󰿶󱟠󰸼󰐬󱏤󰐈󱠌󱁢󰭏󰞑󱛙󰛓󰜄󰇴󱒿󰹱󱁮󰭏󰮮度󰞑󰶜󰬯󰇴󰳴󱅌降󰕥󰭋󰒬󰽂神󰿶󰞑󱟠󰸼󰇴󰗎󰔋󰐈󱁢率󰞑󰎢󰏲󰱜󰺝󰇹󰾽󱁮󰭏󰮮度󰓆󰡭󱞻󱉚󰑃󰨔󰇴󰒬󰽂神󰿶󰞑󱟠󰸼󰟾󰽮󱡉󰹱󰎢󰏲󰇴󰶜󰬯󰐈󱠌󰞑󰐈󱁢率󰇵󰶜󰜹󰵻󱕉󰘳󰲍󰙮󱔈󰕈󰰨󰞑󱐒󰫈[16]󰇶󰀡

󰀡󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

15

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲃󰎟󰴕󰀡󰣴󰘲󰐑󰝤󰀡

3.1󰀡󰘳󰲍說󰜴󰀡

󰟻󰥊󰶜󰚉PPG󰢂利󰒔󰓀󰽂󰷳󰏡󰒹󰖎󰔏󰓀󱌕󰫈量󰞑󰦚理󰇴󰫶錄󰓀󱌕󱡂󰏯󰔶󰽂󱔈󰮳󰚉󰞑󰟞󱀦󰇶󰾽󰕈󰰨󱡏󱑈󰱢󰒓󱡂󰭏󰨔󰇴󰓀󰽂󰷳󰏡󰒹󰽮󱒿󰹱󰕈󰰨󱡏󱑈󰞑󱡂󰏯󰔶󰽂󱔈󱂝󱓸󰇴󰙩󰾣󰓀󱌕󰫈量󰖎󰔏󰞑󰧡異󰇴󰔶󰱢󰒓󱂝󱓸󰞑󱡂󰏯󰇴󰔶󰔜󱡂󰏯量󰇴󰕻󰢂󰕈󰰨󱡂󰏯量󰇴󰓕PPG󰟞󱀦󰇶󰒁󱃴󱡍利󰒔󱈺󱏔Biopac MP30󰮒PPG󰟞󱀦󱘏󰚗󰔿󱂝󱀐󰇴󰓆󰿶󰒗LabVIEW󰳬󱡏󱃹󰚁󰕢󰏩󰝋󰇶󰀡

󰀡

3.1.1 󰸯󱡏󰢎󱄬󰈋Biopac MP30󰞑󰏟󰲏󰀡

󰓧󰔜󰏩󰕱󰵩Biopac MP30󰞑󰑄󰫈󰇵󰒁󱃴󱡍󰜌󰒔󰏐󰠠󱀦󰇵󰔜󰠠󱀦󰏐󰩝󰕅󰏷量󰷳󰐑󰔄󰬺󰎋󰙤󱙁󰵂󰞑󰏟󰲏󰇶󰀡

󰑄󰫈󰇺Biopac󰣁󰎋󱅿󰓭󰑄󰫈󰒓理󰫻󱀦󱘏󰚗󱈺󰇶󰓧󰟻󱆄連󰯗不󰓕󰞑󰽂󰷳󱏔便󰫈󰏩󰕱󰷳量󰚉PPG󰫻󱀦󰇵󰐈󱂝󰫻󱀦󰇵󰔼󱂝󰫻󱀦󰸻不󰓕󰞑󱂝󰒓理󰫻󱀦󰇶󰀡

󰠠󱀦󰇺󰒁󱃴󱡍󰜌󰒔󰞑Biopac󰠠󱀦󰣁MP30󰇶MP30󰇴󰣁󰑤󰦁󰳯󱁰󰞑󰓭󰑄󰫈󰒓理󰫻󱀦󱘏󰚗󱈺󰇶󱙖󰒗󰎋󰦁8-PIN󰞑serial port連󰯗󰔿󱂝󱀐󰇶󰚁󰟻󱆄󰥟󰝈󰑅󰡴󰎋󰦁󱂝󰽵󱔠󰷳󰭵󰇵󰑤󰦁󱒡󰎕󰭵󰐰󰏷兩󰦁狀󱄊󰡰󰒢󱐩󰇴󰓵󱃙3-1󰜌󰒢󰇶󰚁󱒡󰎕󰭵󰞑󱀸󰿼󰗎󰔄󰑑󰣁󱂝󰽵󰇵󱂝󱏤󰐰󰏷I/O device󰎟󱅿󰇴狀󱄊󰡰󰒢󱐩󰟾󰏩󰕱󰟄󰒢󰒅󰓧󱘏󰚗󰸳󰔄󱆶󱂝󰾍󰻒󰯴[19]󰇶󰀡

󰀡

󰀡

󱃙3-1󰀡󰀡Biopac MP30󰟻󱆄󰥟󰝈󰀡

󰀡

16

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰩝󰕅[19]󰇺󰀡

1󰇵󰒺󰽀󰳕󱃄󰇺󰑑󰓧󰟻󱆄󰑤󰦁󰳯󱁰󰏩󰕱連󰯗不󰓕󰞑󱒡󰎕󱀸󰿼󰇴󰙠󰑑󰓕󰨔󰯗󰔏󰫻󱀦󰔶不󰽮󰏕󰣬󱉹󱟜󰇶󰀡

2󰇵󰔾󰭏󰽂󰞕󰇺󰑤󰦁󰳯󱁰󰣣󰣁󰔾󰭏󰽂󰞕󰜫󰎵󱏔󰇴󰑑󰔾󰭏󱔠󰞕󰒞󰟻󱆶Biopac MP30連󰯗󰞑󱂝󰽵類󰕱󰏷󰳯󱁰󰕏󰿼󰇶󰀡

3󰇵󰔾󰭏󱉚益󰳛󰛓󰇺󰑤󰦁󰳯󱁰󰽮󰺎󰦁󰕱󱒡󰎕󰟞󱀦󰞑󰎵󰎻󰇴󰔾󰭏󰳛󰛓󱉚益󰇴

󰙬󰚁󱡉󰒢󰜭󱑻󱃿󰎢󰞑󱃙󰗎󰣁󰴨󰙫󰏯󰇶󰀡

4󰇵󰔾󰭏󰭃󰱽󰛓󰕏󰇺󰟞󱀦󰝢󰗎󰽮󰔾󰭏󰛓󰕏󰜭󰓚󰳯󱁰󰇴󰙠󱡉󰒢󰵯󱉨󰏍󰢤󰇴不󰑸󱏼󰐈󰟞󱀦󱅆󰱽󰇴󰗬不󰚉󱃙󰗎󰞑󰭢󱚒󰇶󰀡

5󰇵󱑻󱃿󰡰󱏤󰔄󱏹󰕢󰇺󰬨󱡉󰒢󰟞󱀦󰝢󰗎󰑦󰇴󱑻󱃿󰳴󰎋󰶜󰒢󱏹󰕢󰘁󱡯󰇴󰙬󰒔󰞣󰧒易󰎢󰐋󰇴󰐪󱂝󱀐󰔾󰭏󰳛󰛓󱒱󱇤󱔠󰞕󰇴󱃴󱡍󱙁󰵂易行󰇴󰰚理󰏩󰜴󰇶󰀡

6󰇵󱃴󱡍󰻨󰒞󱘉󱉚󰇺󰳬󱡏󰳽󰏩󰐬󰤾󰔖Biopac Student Lab(BSL)󰚩Biopac Student Lab Pro(BSL Pro)兩󰦁󰸳󰔄󰇴󰚁󰏍󰞑󰧡󰕱󰓧󰜭󰇺BSL󰙩󰾣不󰓕類󰠠󰞑󰫻󱀦󰶜󰙮󱂣󰳛󰥶󰏷󱍐󰸳󰇴󰑑󰞔󰯗󰷳量󰢌󰳽󰏩󰔼󰔺󰔏󱕭󰜄󰇴󰜈󰢂󰐈󰽛󱁢󰭏󰺼󰶺󰸻󰸻󰇹󰔶BSL Pro󰟾󱈡󰑜󰑦󰙩󰜌󰤾量󰷳󰫻󱀦󰞑不󰓕󰩝󰜄󰇴󱍓󱏾󰚁󰳛󰛓󰇶󰀡

7󰇵󱓯󰓸󰡕󱑻󱃿󰎢󰏩󰝋󰑄󰫈󰇺󰏩󰝋󰑄󰫈󰳛󰛓󱙁󰵂󰇴󰖖󰝢󰗎󰳛󰛓󰇴󰐚󱃹󰏷󰧝󰙃󰔾󰭏󰽜󰵨󰏷量󰷳󰇶󰑜󰑦󰇴󰚁󱔞󰨢󱓯󰓸󰞑󰗎󰔄󱗋󰑑󰳛󰛓󰣁󰫶󰙣󰒁(.txt)󰜈󰢂󱃙󱔞(.jpg)󰇴󰐰󰐑便󰐒󰡕󰬺不󰓕󰞑󰏩󰝋󰙬󰒔󰇶󰀡󰀡

3.1.2󰀡󱃴󱡍󰳛󰥀󰀡

󰏩󰕱󰮒Biopac MP30󰞑󰑤󰦁󰳯󱁰󰚗CH1󰇵CH2󰯗󰎢不󰓕󰞑󰽂󰷳󱏔󰇴󰓵󱃙3-2󰜌󰒢󰇶󰣁󱘏󰚗󰚙󰷳󰞣󰓧󰑳󱓉狀󱄊󰎠󰞑󰟞󱀦󰇴󰡺󰜌󰔖󰚙󰷳󰞣󰻪󰓧󰒶󰧲󰎜󰏩󱞊󰡕󰏉󰻒󰛈󱘏󰚗󰟞󱀦󰇴󰐪󰚁󱘏󰚗󰞑󰨔󰻔󰣁󰏖󰏩󱞊󰇶󰀡

CH1󰇺󰲃󰎋󰳯󱁰連󰯗󰎋󰦁PPG󰇴󰣁󱘏󰚗󰑰󰐋󰥧󰡰󰞑󰕈󰰨󱡏󱑈󱡂󰏯量󰇶󰀡

17

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

CH2󰇺󰲃󰎒󰳯󱁰連󰯗󰎋󰦁󰲃󰎒󱏤󰸳󰞑ECG󰇶󰀡

󰏂󰞕󰔾律神󰿶󰘳󰲍󰞑󱡂󰏯󰑑󰒗ECG󰞑󰏩󰝋󰮳󰞕[6]󰇴󰣁了󰓑󱛾PPG󰒭󰑑󰣮󰑀󰔾律神󰿶󰘳󰲍󰞑󱡂󰏯󰇴利󰒔󰲃󰎒󰳯󱁰󱘏󰚗ECG󰟞󱀦󰇴便󰑑󰓧󰓕󰎋󰨔󰻔󱗺󰞑󰓕󰎋󰎓󰙊󰎢󰇴󰏩󰝋󰚉󰾽󰎠ECG󰐰󰏷PPG󰞑󱡂󰏯󰇶󰀡

󰀡

󱃙3-2󰀡量󰷳󰐑󰔄󰒢󰽀󱃙󰀡

󰀡

臨󰗉󱃴󱡍󰳛󰥀󰇺󰀡󰀡

󰒁󱃴󱡍󰮒󰒗󰎜󰕏󰚙󰷳󰞣󰯗󰚙󰷳量󰇴󰘂󰕏󰚙󰷳󰞣󰑸󰻪󰒶󰧲󰎜󰏩󱞊󰐰󰎢󰇴󰙬󰚙󰷳󰞣󰑳󱓉󰎠來󰇴󰸅󰡕󰻒󰛈󰯗󰚙󰒁󱃴󱡍󰞑󰷳量󰏖󰔿󰎜󰏩󱞊󰇶󰓧󰚙󰷳󰞣󰎢利󰒔󱂝󰽵󱆶

ECG󰲃󰎒󱏤󰸳󰬺󰎋󰦁󰵞󰏟󰇴󰏐󰡕󰻒󰛈󱘏󰚗󰒁󱃴󱡍󰏐󰜌󱈡󰏐󱁗料󰇹󰙬󰒔PPG󱘏󰚗󰚉󰞑󰟞󱀦󰇴󰗤󰑀󰚁BL󱆶AM󰇴󰓆󰗢󰚁󰹈󰝀󱆶ECG󰏐󱓎󱛼󰏩󰝋󰇴󰑃󰐰󰐚󱃹󰚁󰹈󰝀󰢂󰖁󰣬󰕟󰇶󰀡

ECG量󰷳󰦚理󰇺󰎓󱡏󰒁󰙊󰙊󱡏󰽮󰱢󰒓󰽵󰼾󰎻󰞑󱂝󱓸󰇴󰓢󰔜量󰷳󰎓󱡏󰘂󰎒󱗺󰻔󰏐

󱂝󰕏󰧡󰇴󰮳󰚉󱙁易󰐈󱂝󱃙󰇶󰀡

18

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃴󱡍󰐑󰝤󰇺󰓧󰚙󰷳󰞣󱚈󰐋󰗤󰑀󰚙󰷳󱗺󰇴󰙠󰺠󰎢量󰷳󰐈󱁢󰜌󰙬󰒔󰏐󰺠󰐢󰇴󰓆󰯗󰎢󱈺󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󱏔󰇴󰕻󰑑󰮳󰚉󱙁易󰐈󱂝󱃙󰏐󱉹󱂽󰇴󰙠󰬺󰓕󰘁󰫶錄󰏐󰇶󰀡

󱃴󱡍󰓒󱓀󰇺󰒁󱃴󱡍󱃹󰎓󱡏󰸄󰒺󰕖󰓒󰧍󰇴量󰷳󱂝󰽵󰣁󰟚󰟟󰎕󰔄󰇴󰡺不󰽮󰻾󰧍󰚉󰎓󱡏󰇴󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰒁󱃴󱡍󰒭󰸄󰒺󰕖󰡕󱒪󰩱󰇶󰀡󰀡

3.2󰀡󰳬󱡏󰲔󰔋󰀡

󰒁󰣴󰘲󰞑󰳬󱡏󰳛󰥀󰳽󰏩󰢂󰙬󰒔LabVIEW󱃙󰯓󰔄󰳛󰥀󰳬󱡏󰇴󰹈󰓝Biopac 30󱘏󰚗󰒓理參數󰟞󱀦󰞑󱏹󰕢󰏟󰥟󰇴󰮒󰜌󰷳󰮳󰞑󱃴󱡍數󱏵󰑃󰐰󰏩󰝋󰇶

3.2.1 PPG󰏩󰝋󰀡

利󰒔BSL Pro󰐰󰏷󰓃󰟻󰶜󰚉󰞑󰷳量󰐑󰔄󰇴󰏩󰕱󱘏󰚗󰚉兩󰦁󰳯󱁰󰞑󰫻󱀦󰇴󰓵󱃙

3-3󰜌󰒢󰇶󰒗󰎢󰔶󰎠󰏩󰕱󰣁󰲃󰎋󰔿󰲃󰎒󰳯󱁰󰞑󰫻󱀦󰇶󰮵󰐎󱝘󰏍󰮳󰞕󰘂󰎋󰦁PPG󰺼󰶺󰞑󰝢󰧝󰔿󰝢󰙃󱆀󰬺AM󰥶󰇴󰐪AM󰥶󰐶󰟄󰎋󰔛󰐈󰽛󰜌󰑺󰑀󰕈󰰨󱡏󱑈󰞑󰓭󱃲󰇶󰔶󰘂󰎋󰦁PPG󰺼󰶺󰞑󰝢󰧝󰔿零󱗺󱆀󰬺BL󰥶󰇴󰔜BL󰥶󰟄󰒢󰕈󱆅󱏛󰞑󰻩󱔈󰜄󰇶󰀡

󰀡

󰀡

󱃙󰀴󰀮󰀴󰀡󰑤󰦁󰳯󱁰󰞑󰫻󱀦󱃙[18]󰀡

󰀡

󰀡

19

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡󰀡

󱃙3-4 PPG󰞑AM󰏷BL[11]󰀡

󰀡

󱃹PPG󰞑󰏩󰝋󰐬󰤾󰓧󰗤󰑀PPG󰞑AM󰥶󰇶󰓧󰮒󰦚󰛈PPG󰟞󱀦󰚗󱊬󰡕󰇴利󰒔

LabVIEW󰞑󰧝󰥶󱔠󰷳󱏔󰈐peak detect󰈑󰇴󰏩󰕱󰗤󰑀󰘂󰦁󰝢󰞑󰝢󰧝󰈐peak󰈑󰐰󰏷󰝢󰙃󰈐valley󰈑󰇴󰮒󰝢󰙃󰚗󰹊󱃹󰥶󰓆󰑃󰎢󰝢󰧝󰞑󰥶󰇴󰚗󰑳󰖡󰏐󰡕󰕻󰣁AM󰑳󰖡󰥶󰇴󰸳󰔄󰢎󱄬󰓵󱃙3-5󰜌󰒢󰇶利󰒔LabVIEW󱊗󱉪󰔶󰔋󰞑󰟻󰿼󰥟󰝈󰟾󰓵󱃙3-6󰜌󰒢󰇶󰨥󱏵參󰔵󰐎󱝘󰇴󰓧󰑳󱓉狀󱄊󰎠󰞑󰚙󰷳󰞣󰏩󰝋󰚁AM󰥶󰑳󰖡󱔈󰣁0.48mV󰇴若AM󰥶󰎵󰜭

0.48mV󰟾󰟄󰒢󰒬󰽂神󰿶參󱆶󰕢󰒔[10]󰇶󰐰󰎠󰣁󰒁󱃴󱡍PPG󰳽󰒽󰞑󱃴󱡍󰒞󰞑󰇺󰀡󰀁󰀁󰅎󰁥󰘃󰮳PPG󰏐AM󰥶󰬤列󰇴󰙠󱆉󰑀AM󰞑󰑳󰖡󰥶󰇶󰀡󰀁󰀁󰅏󰇵󰘃󰮳󰔖󰨏󰐪󱇤󰧡󰎻󰞑PPG󰏐PPI󰇶󰀡󰀁󰀁󰅐󰇵󱙯󰶤PPG󰏐PPI󰣁󱓎󰭱󱡉󰒢󰞑󰑄率󱓎󱛼󰇶󰀡󰀡

󰀡

󰀡󰀡󰀡

󰀡󰀡󰀡󰀡

󱃙3-5󰀡󰘃󰚗AM󰑳󰖡󰥶󰏐󰸳󰔄󰢎󱄬󱃙󰀡

20

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󰓧󰒁󱃴󱡍󰏍󰇴󰬨了PPG󰏐󰥙󰤾參數AM󰞑󰏩󰝋󰏐󰑦󰇴󱗋󰤾󰏩󰝋󰑀PPG󰏍

R-R󰀡󰻔󰺯(PPI)󰇴󰐰󰏷PPG󰏐󰑄率󱓎󱛼󰮏度󰇴󰐰利󰜭󱆶ECG󰬺󰣬󱜢󰜄󰐚󱁨󰇶󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󰮒󰦚󰛈PPG󰟞󱀦󰚗󱊬󰀡󰙬󰒔LabVIEW󰏍󰧝󰥶󱔠󰷳󰀡󰏡󰒹󱔠󰷳󰑀󰧝󰥶󰕏󰿼󱆶󰨁󰵯󰮒󰧝󰥶󰕏󰿼󰒗INDEX 1󰕏󰿼󱘏󰚗󰚁󰡕󰬤列󱆶󰦚󰬤列󰣬󰷧󰘃󰮳PPI󰬤列󰀡󱃙3-6󰀡󰘃󰚗PPI󰏐󰸳󰔄󰢎󱄬󱃙󰀡

󰮒󰦚󰛈PPG󰟞󱀦󰚗󱊬󰀡󰘃󰮳PPI󰀡利󰒔󰴡立葉󰏦󰔄󱙯󰶤PPI󰨔󰭱󰹈󰝀󰣁󱓎󰭱󱡉󰒢󰞑󰑄率󱓎󱛼 󱃙3-7󰀡󱙯󰶤󰔋PPG󰑄率󱓎󱛼󰏐󰸳󰔄󰢎󱄬󱃙󰀡

󰀡󰀡󰀡

󱃙3-8 PPG󰏐󰦚󰛈󰝢󰗎󱡉󰒢󰀡

21

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󰀡󰀡

󱃙3-9 PPG󰝢󰧝󰔿󰝢󰧝󰻔󰺯󰦁數󰈐PPI󰈑

󰀡󰀡󰀡

󰀡

󱃙3-10 PPG󰏐󰑄率󱓎󱛼(󰵂󰕏󰇺Hz)󰀡

󰀡

3.2.2 ECG󰏩󰝋󰀡

󰓵󰓃󰟻󰜌󰶜󰚉󰞑󰇴󰔾律神󰿶󰘳󰲍󰞑󱡂󰏯󰑑󰒗ECG󰞑󰏩󰝋󰮳󰞕󰇴ECG󰞑󰏩󰝋󰏩󰣁󰨔󰭱󱁟󱓎󰭱兩󰳽󰏩󰇶󰐰󰎠󰣁󰒁󱃴󱡍ECG󰳽󰏩󰞑󱃴󱡍󰒞󰞑󰇺󰀡

1󰇵󰘃󰮳󰔖󰨏󰐪󱇤󰧡󰎻󰞑ECG󰏐R-R󰻔󰺯󰇶󰀡2󰇵󱙯󰶤ECG󰏐R-R󰻔󰺯󰣁󱓎󰭱󱡉󰒢󰞑󰑄率󱓎󱛼󰇶󰀡

3󰇵󰥀󱆉ECG󰑄率󱓎󱛼󰎠󰞑LF󰥶󱆶HF󰥶󰇴󰘃󰚗兩󰞣󰐚󰥶󰇴󰐰󰯖󰫸󰓚狀󰝩󰎠󰔾律神󰿶󰏍󰒬󰽂󱆶󰭋󰒬󰽂神󰿶󰞑󰩃󰟏󰏷󰡮󰗜󰕢󰒔󰇶󰀡

ECG󰢂󰒗QRS󰝢󰲔󰔋󰇴󰚁󰏍R󰝢󱆶R󰝢󰞑󰨔󰻔󰻔󱂖󱆀󰕢R-R󰻔󰶺󰇶󰮒󰔜R-R󰻔󰶺󰲔󰔋󰞑󰨔󰻔󰗇列󰇴󰐰󰗖󰳲󰴡立葉󱙯󰶤󰕢󱓎󱛼󰏩󰝋󰇴便󰑑󰓧0󰚉0.4Hz󰞑󱓎率󱌄󰵎󰻔󰗤󰚉數󰦁󰝢󰧝󰇴󰚁󰏍󰐬󰤾󰞑兩󰦁󱓎󰮥󰣁󰕥󱓎󱓎󰮥󰈐LF󰇴0.04~0.15Hz󰈑󰐰󰏷󰬯󱓎󱓎󰮥󰈐HF󰇴0.15~0.4Hz󰈑󰇴󰳭兩󰦁󱓎󰮥󰏩󰕱󰏸󱔈󰹱󰔾律神󰿶󰘳󰲍󰏐󰒬󰽂神󰿶󱆶󰭋󰒬󰽂神󰿶󰢲󰭏󰞑󰯃󰗎󰇶󰀡

󰀡

22

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡

󱃙3-11 R-R󰻔󰶺[6]󰀡

󰀡󰀡󰀡

󱃙3-12 ECG󰏐󱓎󱛼󰏩󰑲󰒢󰽀󱃙[6]󰀡

󰀡

󰐰󰎠󰣁󰒁󱃴󱡍ECG󰳽󰏩󰓚󱃴󱡍󰒞󰞑󰏐󰸳󰔄󰢎󱄬󰇺󰀡󰀡󰀡

󰮒󰦚󰛈ECG󰟞󱀦󰚗󱊬󰀡󰀡󰀡󰀡󰀡󰀡

󰮒󰧝󰥶󰕏󰿼󰒗INDEX 1󰕏󰿼󱘏󰚗󰚁󰡕󰬤列󱆶󰦚󰬤列󰣬󰷧󰘃󰮳R-R󰻔󰺯󰬤列󰀡󰀡

󱃙3-13 󰘃󰚗ECG󰏐R-R󰻔󰺯󰸳󰔄󰢎󱄬󱃙󰀡

󰙬󰒔LabVIEW󰏍󰧝󰥶󱔠󰷳󰏡󰒹󱔠󰷳󰑀󰧝󰥶󰕏󰿼󱆶󰨁󰵯󰀡 23

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󰮒󰦚󰛈ECG󰟞󱀦󰚗󱊬󰀡󰘃󰮳R-R󰻔󰺯󰀡利󰒔󰴡立葉󰏦󰔄󱙯󰶤ECG󰨔󰭱󰀡󰹈󰝀󰣁󱓎󰭱󱡉󰒢󰞑󰑄率󱓎󱛼󰀡

󱃙3-14󰀡󱙯󰶤ECG󰏐R-R󰻔󰺯󰣁󰑄率󱓎󱛼󰞑󰸳󰔄󰢎󱄬󱃙󰀡

󰀡󰀡

󰀡率󱓎󱛼󰀡ECG󰏐󰑄󰀡󰀡󰀡󰀡

󰐚󱁨LF󱆶HF󰇴󰣬󰬨󰐰󰘃󰮳󰐚󰥶󰀡

󱃙3-15 ECG󰏍LF󱆶HF󰘃󰮳󱆶󰐚󰥶󰏐󰸳󰔄󰢎󱄬󱃙󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󱃙3-16 ECG󰏐󰦚󰛈󰝢󰗎󰀡

󰀡

24

󰥀󱆉󱓎󱛼󰔔󱌕󰎠󰥟󱑈󰇴󰘃󰮳󰕥󱓎󱓎󰮥LF󱆶󰬯󱓎󱓎󰮥HF ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󱃙3-17 ECG󰏐R-R󰻔󰺯󰏐󰦁數󰀡

󰀡󰀡󰀡󰀡󰀡

󱃙3-18 ECG󰏐󰑄率󱓎󱛼(󰵂󰕏󰇺Hz)󰀡

󰀡

3.2.3 ECG󱆶PPG󰏐󰣬󱜢󰜄󰏩󰝋󰀡

󰒁󱃴󱡍󰞑󱃴󱡍󰒞󰞑󰔖兩󰐑󰥟󰇺󰀡

󰀲󰇵󰐚󱁨ECG󱆶PPG兩󰞣󰏐R-R󰻔󰺯󰞑󰣬󱜢󰜄(󰨔󰭱󰣬󱜢󰜄󰐚󱁨)󰇶󰀡󰀳󰇵󰐚󱁨ECG󱆶PPG兩󰞣󰏐󰑄率󱓎󱛼󰞑󰣬󱜢󰜄(󱓎󰭱󰣬󱜢󰜄󰐚󱁨)󰇶󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󰙬󰒔󰒜󱅟󰷄󰣬󱜢󰟯數󰏦󰔄󰘃󰮳兩󰞣󰏐󰣬󱜢󰜄󰟯數 󱃙3-19󰀡󰣬󱜢󰜄󰐚󱁨󰏐流󰸳󰀡

25

󰳀理ECG󱆶PPG󰞑󰣬󱜢󰏩󰝋󱁗料󰀡(R-R󰻔󰺯󰇵󰑄率󱓎󱛼󰸻)󰀡󰓧󰸳󰔄󰏍󱁗料󰳀理󰏩󰝋󰏟󰥟󰏍󰖹󰔋󰙠󰓸󱔞讀󰚗󰏩󰝋󰖹󰔋󱁗料󰇴󰙠󰓧󰸳󰔄󰏍󰣬󱜢󰜄󰏩󰝋󰏟󰥟󱒧󱏷󰡑󰐚󱁨󰏐數󱏵 ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󰒜󱅟󰷄󰣬󱜢󰟯數󰏦󰔄󰢂󰒔來󱑽量兩󰦁󱒿󱐒󱡂數󰏐󰻔󰈹󰞔󱌕󱜢󰟯󰈹󰞑󰐑󰓛󱆶󰮮󰧧󰸳度󰇶󰓧󰣬󱜢󰏩󰝋裡󰇴X󱆶Y󰖡󰬷󰳛󰣁󱒿󱐒󱡂數󰇴󰣬󱜢󰏩󰝋󰞑󰹈󰝀󰣁󰎋󱆀󰣁󰣬󱜢󰟯數(correlation coefficient)󰞑數󰓷󰇶󰒗󰜭󰚁󰛓󱀀󰇴󰣬󱜢󰟯數󰞑󰥶󰡡󰏟󰜭-1󱆶

+1󰏐󰻔󰇶+1󰟄󰒢X󱆶Y󰣁󰖹󰓄󰒅󰓛󱌕󰜄󰣬󱜢󰇹󰶤句󱁉說󰇴󰜌󰔖󰞑󱗺落󰜭󰯹率󰣁󰒅󰞑󰞔󱌕󰎢󰇶-1󰟄󰒢X󱆶Y󰣁󰖹󰓄󰥄󰓛󱌕󰜄󰣬󱜢󰇹󰶤句󱁉說󰇴󰜌󰔖󰞑󱗺落󰜭󰯹率󰣁󰥄󰞑󰞔󱌕󰎢󰇶若󰣬󱜢󰟯數󰞑󰥶󰟚󰮤󰯗󰟈零󰇴󰟾󰟄󰒢X󱆶Y󰸄󱌕󰜄󱜢󰟯[4]󰇶󰀡

󰀡

󰒜󱅟󰷄󱑈󰪂󰣬󱜢󰟯數(Pearson Product Moment correlation coefficient)󰞑󰛓󱀀󰣁(3-1)󰔄[4]󰇺󰀡

γXY=

󰀡󰀡󰚁󰏍

sXY

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡(3-1)󰀡sXsY

γXY=󱊬󰒁󰣬󱜢󰟯數

sXY=󱊬󰒁󰓅󱡂異數 sX=X󰞑󱊬󰒁󱊱󰾗󰧡 sY=Y󰞑󱊬󰒁󱊱󰾗󰧡

󰎠󰔄󰣁󰒜󱅟󰷄󰣬󱜢󰟯數󰏦󰔄󰞑󰶹󰐶󰏦󰔄󰇴󱆶󰦚󰔄󰣬󰸻󰇴󰕠不󱈡󰤾󰥀󱆉󰓚󰦁

xi−x󱆶yi−y󰏐離󰧡󰇴󰓢󰔶󰑤󰯭󰏖󰎕󰜌󰱢󰒓󰞑󱇤󰧡󱁨󰏿󰇴󰣁(3-2)󰔄[4]󰇺󰀡

γXY=

󰀡󰀡󰀡󰀡

∑X

2i

∑XY−(∑X∑Y)n−(∑X)n∑Y−(∑Y)ii

i

i

2

2

i

i

i

2

(3-2)󰀡

n

26

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲃󰑤󰴕󰀡󱃴󱡍󰹈󰝀󰀡

4.1󰀡󱃴󱡍󰹈󰝀󰀡

󰒁󰣴󰘲󰞑󱃴󱡍󰒞󰞑󰓵󰎠󰇺󰀡

󰀲󰇵󱢀󱃸ECG󱓎󱛼󰕥󱓎󱓎󰮥󱆶PPG󰏐AM󰥶󰣬󰏕󰞑󱜢󰟯󰇶󰀡󰀳󰇵󰮵󰨔󰭱󱢀󱗺來󰐚󱁨ECG󱆶PPG󰓧󰐈󱁢󰺼󰶺󰎢󰞑󰣬󱜢󰜄󰇶󰀡󰀴󰇵󰮵󱓎󰭱󱢀󱗺來󰐚󱁨ECG󱆶PPG󰓧󰑄率󱓎󱛼󰎢󰞑󰣬󱜢󰜄󰇶󰀡󰀵󰇵󱆕󰓝󰐰󰎢󰹈󰝀󰇴󱏾󰓝ECG󱆶PPG󰏐󰣬󱜢󰜄󱆶󰕢󰒔󰇶󰀡󰒁󱃴󱡍󰵩󰐰󰳭󰑤󰎵󱃴󱡍󰒞󰞑󰇴󰐰󱃴󱡍󰹈󰝀󱡍󱛾󰓚󰒞󰞑󰏐󰣬󱜢󰜄󰇶󰀡󰀡

󰎋󰇵󱢀󱃸ECG󱓎󱛼󰕥󱓎󱓎󰮥󱆶PPG󰏐AM󰥶󰣬󰏕󰞑󱜢󰟯󰇴󰓵󰟄4-1󰜌󰒢󰇶󰀡

󰟄4-1 ECG󱓎󱛼󰕥󱓎󰫈量󱆶PPG󰏐AM󰥶󱜢󰟯󰟄󰀡年󱞟

󰚙󰷳󰞣󰀡

󰜄󰕱󰀡󰚙󰷳󰨔󰻔󰀡

󰙊󰬯

󱡏󰥙

狀󱄊

LF (ms 2)

AM (mV)

(󰾃)󰀡(cm)(kg)

󱍴󰀡

451.19 0.63728.35 1.101311.24 1.89517.62 0.74891.33 1.161741.10 1.75622.77 0.831033.45 1.373577.17 3.20󰚙󰷳󰞣1󰀡21 女󰀡PM 1:00~3:00 16363 󰪠󰀡󰺲󰀡󱍴󰀡

󰚙󰷳󰞣2󰀡22 󰘪󰀡PM 1:00~3:00 17269 󰪠󰀡󰺲󰀡󱍴󰀡

󰚙󰷳󰞣3󰀡23 󰘪󰀡PM 1:00~3:00 17275 󰪠󰀡󰺲󰀡

󰹈論󰇺󰀡

󰨥󱏵參󰔵󰐎󱝘󰇴󰓧󰑳󱓉狀󱄊󰎠󰞑󰚙󰷳󰞣󰏩󰝋󰚁AM󰥶󰑳󰖡󰣁0.48mV󰇴若AM󰥶󰎵󰜭0.48mV󰟾󰟄󰒢󰒬󰽂神󰿶參󱆶󰕢󰒔[10]󰇶󰒗󰟄󰏍󰑑見AM󰥶󰣣󰎵󰜭󱊱󰾗󰥶

27

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

0.48mV󰇴󰔶󱢀󱃸󰚁ECG󰞑󱓎󱛼󰏩󰝋󰇴󰓧0.04Hz~0.15Hz󰏐󰻔󰔖󰜴󱡉󰞑󰫈量󰓸󰓧󰇴󰒅󰓳󰲄󰓝󰓃󰟻󰜌󰶜󰚉󰞑󰇴󰾽󰒬󰽂神󰿶󰕢󰒔󰨔󰇴ECG󰞑󱓎󱛼󰏩󰝋󰽮󰓧0.04Hz~0.15Hz󰻔󰔖󰜴󱡉󰞑󰫈量󰓸󰓧󰇶󰓆󰞣󰇴󰒗󰓚󱅿狀󱄊󰎠󰜌󰖇󰱜󰞑󰕥󱓎󰫈量LF󰥶󱆶AM󰥶󰐚󱁨󰇴󰑑󰸧󰱜󰒬󰽂神󰿶󰕢󰒔󰺫󰜮󰱰󰇴PPG󰞑AM󰥶󰽮󰺫󰬯󰇶󰀡

󱘜󰪯󰹈論󰥙󱗺󰓵󰎠󰇺󰀡

1󰇵ECG󱓎󱛼󰏩󰝋󰏍󰇴若󰒬󰽂神󰿶參󱆶󰕢󰒔󰇴AM󰥶󰽮󰬯󰜭0.48mV󰇴󰺝󱉻PPG󰏐󰥙󰤾參數AM󰥶󱆶ECG󰏍󰕥󱓎󰫈量LF󰥶(󰒬󰽂神󰿶󰕢󰒔󰫈量)󰬯度󰣬󱜢󰇶󰀡

2󰇵󰕥󱓎󰫈量LF󰥶󱆶AM󰥶󰖇󰒅󰐚󰇶󰀡󰀡

󰎒󰇵󰮵󰨔󰭱󱢀󱗺來󰐚󱁨ECG󱆶PPG󰓧󰐈󱁢󰺼󰶺󰎢󰞑󰣬󱜢󰜄󰇶󰀡

󰐰󰎠󰓃󰖇󰱜󰷳󱁂󰞣1󰓚狀󱄊󰎠量󰷳󰐈󱁢󰺼󰶺󰏐󱌄例󰇺󰀡󰀡󰀡󰀡󰀡

󰀡

󱃙4-1 R-R󰻔󰺯󱆶PPI󰏐󰦁數(󰷳󱁂󰞣1󱍴󰹱󰷳量)󰀡󰀡

󰀡󰀡󰀡

28

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡󰀡󰀡󰀡󰀡

󰀡󰀡󰀡

󱃙4-2 R-R󰻔󰺯󱆶PPI󰏐󰦁數(󰷳󱁂󰞣1󰪠󰹱󰷳量)󰀡

󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡󰀡

󱃙4-3 R-R󰻔󰺯󱆶PPI(󰷳󱁂󰞣1󰺲󰖹󰷳量)󰀡󰀡

󰀡󰀡󰀡

29

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡

󰐰󰎠󰏩󰕱󰣁ECG󰏐R-R󰻔󰺯󱆶PPG󰏐PPI󰞑󰐈󱁢󰺼󰶺󰣬󱜢󰟯數󰇴󰓵󰟄4-2󰜌󰒢󰇺󰀡

󰟄4-2 ECG󰏐R-R󰻔󰺯󱆶PPG󰏐PPI󰐈󱁢󰺼󰶺󰣬󱜢󰟯數󰟄󰀡年󱞟󰀡󰷳󱁂󰞣󰀡

󰜄󰕱󰀡󰙊󰬯󰀡󱡏󰥙

狀󱄊

󰷳󱁂󰨔󰻔󰀡

󰐈󱁢󰺼󰶺󰣬󱜢󰟯數󰀡

(󰾃)󰀡(cm) (kg)

󱍴󰀡

0.04999 0.12128 -0.09029 -0.00578

PM 1:00~3:00

0.05687 0.05689 0.01580 0.57547 0.08614

󰷳󱁂󰞣1󰀡21 女󰀡163 63 󰪠󰀡

󰺲󰀡󱍴󰀡

󰷳󱁂󰞣2󰀡22 󰘪󰀡172 69 󰪠󰀡

󰺲󰀡󱍴󰀡

󰷳󱁂󰞣3󰀡23 󰘪󰀡172 75 󰪠󰀡

󰺲󰀡

󰹈論󰇺󰀡

󰮵󰷳󱁂󰞣1󰞑󱌄例󰏍󰇴󰗚󰥺󰑑󰐰󰞔󱢀R-R󰻔󰺯󱆶PPI󱃙󰗎󰕟󰐯󰔖󱒉󰓝󰞑󱖿󰼈󰇴󰕠󰙣󱃴󰎢󰓧󰣬󱜢󰜄󰟯數󰏦󰔄󰞑󰥀󱆉󰡕󰇴󰙠󰸄󰝤󰮳󰚉兩󰞣󰔖󰣬󱜢󰞑󰹈󰝀󰇴󰜌󰐰󰓧󰨔󰭱󰎢ECG󱆶PPG󰦁󰕱󰖇󰱜󰞑󰐈󱁢󰺼󰶺󰸄󰝤󰓧󰔜󱛾󱃴󰣬󱜢󰇴󰗚󰥺󰮒󰓧󰡕󱞻󰞑󰫸論󰏍󱔠󰫸󰦚󰓢󰇶󰀡

󰀡󰀡

󰎟󰇵󰮵󱓎󰭱󱢀󱗺來󰐚󱁨ECG󱆶PPG󰓧󰑄率󱓎󱛼󰎢󰞑󰣬󱜢󰜄󰇶󰀡

󰐰󰎠󱓎󱛼󰣬󱜢󰟯數󰣁ECG󱆶PPG󰑄率󱓎󱛼󰏐󰣬󱜢󰟯數󰇴󰓵󰟄4-3󰜌󰒢󰇺󰀡

30

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰟄4-3 ECG󱆶PPG󰑄率󱓎󱛼󰏐󰣬󱜢󰟯數󰟄󰀡年󱞟

󰷳󱁂󰞣󰀡

󰜄󰕱󰀡󰙊󰬯󱡏󰥙

󰷳󱁂󰨔󰻔󰀡

狀󱄊󱍴󰀡

󰷳󱁂󰞣1󰀡

󱓎󱛼󰣬󱜢󰟯數󰀡

(󰾃)(cm)󰀡(kg)

0.95549 0.99368 0.99994 0.99494 0.99999 0.99984 0.99797 0.99727 0.99999

21 女󰀡163 65 󰪠󰀡󰺲󰀡󱍴󰀡

󰷳󱁂󰞣2󰀡22 󰘪󰀡172 69 PM 1:00~3:00 󰪠󰀡󰺲󰀡󱍴󰀡

󰷳󱁂󰞣3󰀡23 󰘪󰀡172 75 󰪠󰀡󰺲󰀡

󰹈論󰇺󰀡

󰮵ECG󱆶PPG󰑄率󱓎󱛼󰞑󰣬󱜢󰟯數󱢀󱃸󰇴󰗚󰥺󰑑󰐰󰮳󰚉ECG󱆶PPG󰓧󱓎󱛼󰎢󰩝󰜄󰞑󰟄󰱜󰢂󰟚󰮤󰬯度󰒅󰣬󱜢󰞑󰇴󰎨󰵩󰢂說󰇴󰗚󰥺󰑑󰐰󰮵ECG󰜈PPG󰞑󰑄率󱓎󱛼󰏍󱢀󱃸󰚉󰣬󰓕󰞑󰔾󰐬神󰿶󰫈量󰟄󰱜󰇴󰜈󰞣󰚁󰑬󰔖󰒓理󰽀󱀀󰞑󰫻󰧲󰇶󰳭󰦁󰹈󰝀󰖋󰺙󰗚󰥺󰇴ECG󱆶PPG󰏐󰑄率󱓎󱛼󰑑󰐰󰏕󰣬󰚗󰐶󰇶󰀡󰑤󰇵󱆕󰓝󰐰󰎢󰹈󰝀󰇴󱏾󰓝ECG󱆶PPG󰏐󰣬󱜢󰜄󱆶󰕢󰒔󰇶󰀡

󱘜󰪯󰐰󰎢󰹈󰝀󰇴󰗚󰥺󰑑󰐰󰮳󰚉󰎠列ECG󱆶PPG󰞑󰣬󱜢󰜄󱍦󰇺󰀡

󰀡󰀡1󰇵󰐶󰟄󰒬󰽂神󰿶󰕢󰒔󰞑ECG󰑄率󱓎󱛼󰏐󰕥󱓎󰫈量LF󰥶󱆶PPG󰏐AM󰥶

󰣬󱜢󰐪󰖇󰒅󰐚󰇶󰀡

󰀡󰀡2󰇵󰕻󰨔󰞑ECG󱆶PPG󰇴󱗨󰸅兩󰞣󰓕󰨔量󰷳󰇴󰕠󰢂󰨔󰭱󰜌󰖇󰱜󰞑󰐈󱁢󰺼󰶺󰘒󰀡

󰔖󰖇󰱜󰣬󱜢󰜄󰇴󰸄󰝤󰏕󰣬󰚗󰐶󰇴󰎨󰳚󰤾󰬺󱘏󰚗󰡕󰳀理󰏉󰫈󰚀󰔖󰣬󱜢󰞑󰽀󱀀󰇶󰀡

3󰇵ECG󱆶PPG󰏐󰑄率󱓎󱛼󰑑󰐰󰏕󰣬󰚗󰐶󰇴󰚁󱓎󱛼󰎢󰐶󰟄󰞑󰒓理󰽀󱀀󰣬󰓕󰇶󰀡󰀡

31

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

4.2󰀡󰹈󰝀󰯖󰫸󰀡

󰒁󰿯󰒗󰦚󰓃󰏐󱂣󰶺󰹈󰝀󰇵󱃴󱡍󰹈󰝀󰇵󱃴󱡍量󰷳󰇴󰐰󰏷󱔈󰒔󰐑󰥟來󱔠󰫸󰒁󰣴󰘲󰞑󰔋󰝀󰇶󰀡

󰀡󰀡

󰎋󰇵󱂣󰶺󰹈󰝀󰇺󰀡

1󰇵ECG󱓎󱛼󰞑󰕥󱓎󱓎󰮥󰳽󰏩󰺝󱉻󰒬󰽂神󰿶󰞑󰕢󰒔󰯃󰗎󰇴󰜌󰐰󰾽󰒬󰽂神󰿶󰢲󱟌󰨔󰇴ECG󰞑󱓎󱛼󰏩󰝋󰓧0.04Hz~0.15Hz󰻔󰽮󰔖󰜴󱡉󰞑󰫈量󰓸󰓧󰇴󰔶󰔜󰨔󰙩󰐎󱝘󰜌󰥊󰇴󰗚󰥺󱂣󰶺PPG󰏍AM󰥶󰽮󰎵󰜭󱊱󰾗󰥶0.48mV󰇴來󰓑󱛾󰓧󰒬󰽂神󰿶󰕢󰒔󰨔󰇴󰽮󱏤󰤠PPG󰞑AM󰥶󰶜󰬯󰇴󰺾󰔶󱛾󱃴PPG󰜌󰳸露󰞑󰒓理󰫻󰧲󱆶ECG󰖍󰓝󰇶󰀡

2󰇵󰐈󱠌󱁢󰭏󰨔󰜌󰸧󰑀󰞑󱂝󰫻󱀦󰣁ECG量󰷳󰞑󰙩󱏵󰇴󱁢󰭏󰨔󰜌󰑺󰑀󰞑󰕈流󱡂󰏯󰟾󰑑󰒔來量󰷳PPG󰟞󱀦󰇴󰐈律󰓕󰨔󰳷󰔋󱂝󰫻󱀦󱆶󰕈流󰞑󱡂󰏯󰇴󰜌󰐰󰗚󰥺󱂣󰶺ECG󱆶PPG󰏐R-R󰻔󰺯󰣣󰐶󰟄󰐈󱁢󰺼󰶺󰇴󰑬󰥺󰞑󰣬󱜢󰜄󱔈󱁀󰬯度󰞑󰒅󰣬󱜢󰇶󰀡

3󰇵󰙩󰱜󰔖󰞑󰐎󱝘󰇴󰗚󰥺󰞕󱁰ECG󰞑󰕥󱓎󰳽󰒽󰐶󰟄󰒬󰽂神󰿶󰞑󰫈量󰇴󰬯󱓎󰳽󰒽󰐶󰟄󰭋󰒬󰽂神󰿶󰞑󰫈量󰇴󰙩󰐈律󱡂異󰜄󱆶兩󰞣R-R󰻔󰺯󱔈󱁀󰬯度󰒅󰣬󱜢󰯢論󰇴󰗚󰥺󱂣󰶺󰚁󰨔󰭱󱙯󰶤󰣁󱓎󰭱󰡕󰇴󱓎󱛼󰎢󰐶󰟄󰏐󰫈量󰤾󰏕󰣬󰣬󰸻󰇴󰸄論󰮵ECG󰜈󰞣󰢂PPG󰏐󰑄率󱓎󱛼󰇴󰗚󰥺都󰫈󰮵󰏍󰞑󰩝󰜄󰸧󰱜󰣬󰓕󰞑󰽀󱀀󰇶󰀡

4󰇵󱆕󰓝󰐰󰎢󰞑󱂣󰶺󰹈󰝀󰇴󰗚󰥺󰗆󰰈󰫈󰮳󰚉ECG󱆶PPG󰏐󰣬󱜢󰜄󱃙󱀾󰓵󰎠󰇺󰀡󰀡󰀡

32

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󱃙4-4 ECG󱆶PPG󰣬󱜢󰜄󱃙󱀾󰀡󰀡󰎒󰇵󱃴󱡍󰹈󰝀󰐑󰥟󰇺󰀡󰀡󰀡1󰇵󰐶󰟄󰒬󰽂神󰿶󰕢󰒔󰞑ECG󰑄率󱓎󱛼󰏐󰕥󱓎󰫈量LF󰥶󱆶PPG󰏐AM󰥶󰣬󱜢󰐪󰖇󰒅󰐚󰇶󰀡󰯖󰫸󰁪 AM󰥶󱃹󱔈󰏐󰒓理󰽀󱀀󰣁󰭏󰫇󰕈󱓸󰞑󰻩󱔈󰜄󰇶󰔶󰒬󰽂神󰿶󰘳󰲍󱙖󰹱󰯓󰚋󰕈󱆅󰞑󰑳滑󰔼󰇴󰚁󰐬󰤾󰑄󰫈󰢂󰼾󱍓󰎻󰭏󰫇󰕈󱆅󰞑󰎱󰧩󰇴󰔶󰫈󰙐󰳲󱍓󰿯󱃹󰓚󰲔󱙃󰞑󰕈󰰨󱞲流量󰇴󰣁了󰫈󱒿󰨔󰼾󱍓󰎻󰭏󰫇󰕈󱆅󰞑󰎱󰧩󰇴󰒬󰽂神󰿶󰘳󰲍󰕻󰙬󰓧󰎓󰳀󰜭󰓼󱓉狀󱄊󰨔󰇴󰏝󰫈󰱢󰒓󰎋󰛓󰸳度󰞑󰭏力󰇴󱡣󰎻󰭏󰫇󱆢󰡭󰔏󱕭󰜈󰹤󰮭󰇴󰳭󰙤󰕈󱆅󰞑󰔏󱕭󰜈󰹤󰮭󰳷󰔋󰕈󱓸󰞑󱡂󰏯󰇴󰬨󰔜󰏐󰑦󰇴󰒬󰽂神󰿶󰎨󱁟󰐈󱁢󰞑󰗖󱄌󰔖󱜢󰇴󰜌󰐰󰒬󰽂神󰿶󱃹󰭏󰫇󰕈󱓸󰔖不󰧒󰛹󰺎󰞑󱉹󱟜力󰇴󰔾󰸅󰔶󰸅󰐶󰟄󰒬󰽂神󰿶󰫈量󰞑󰕥󱓎󰫈量LF󰥶󱆶󰐶󰟄󰭏󰫇󰕈󱓸󰻩󱔈󰜄󰞑AM󰥶󰔋󰒅󰐚󱜢󰟯󰇶󰀡󰀡󰀡2󰇵󰕻󰨔󰞑ECG󱆶PPG󰇴󱗨󰸅兩󰞣󰓕󰨔量󰷳󰇴󰕠󰢂󰨔󰭱󰜌󰖇󰱜󰞑󰐈󱁢󰺼󰶺󰘒󰔖󰖇󰱜󰣬󱜢󰜄󰇴󰸄󰝤󰏕󰣬󰚗󰐶󰇶󰀡󰯖󰫸󰇺󰀡ECG󱆶PPG󰘂󰔛󰝢󰧝󰚉󰝢󰧝󰞑󰺼󰶺都󰢂󰐶󰟄󰚙󰷳󰞣󰞑󰐈󱁢󰺼󰶺󰇴󰕠󰢂󱃴󱡍󰹈󰝀󰸄󰝤󱛾󱃴󰗚󰥺󰞑󱂣󰶺󰇶󰗚󰥺󰸧󰱜󰑑󰫈󰞑󰦚󰓢󰔖兩󰞣󰇺󰀡 33ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰀡󰀡󰀡󰈐1󰈑PPG󰟞󱀦󰞑󰛯󱒨󰨔󰻔󱁸󰟏󰇺󰀡

ECG󰢂利󰒔󰐈󱠌󱁢󰭏󰨔󰞑󱂝󰫻󱀦來󰱢󰒓連󱞻󰜄󰞑󰝢󰗎󰇴PPG󰟾󰢂󱎞󰐈󱠌󰡭󱞻󱁢󰭏󰑺󰑀󰞑󰕈流流󰚉󰙊󱡏󰒃󰸱󰓆󰫶錄󰚁󰕈󰰨󱡏󱑈󱡂󰏯量󰇴󰔶󱂝󰎷󰻺󱁲󰞑󰳲度󱇻󰗖󰜭󰰨󱡏流󰭏󰞑󰳲度󰇴󰒗󰔜󰑑󰞕󰇴ECG󰜌量󰷳󰞑󰝢󰗎󰵳󰐯󰢂󰕻󰨔󰞑󰐈󱠌󰒓理󰫻󰧲󰇴󰔶PPG󰟾󰢂󰿶󱁸了󰕈󰰨󰮵󰐈󱠌流󰚉󰙊󱡏󰒃󰸱󰳭󰢤󰨔󰻔󰞑󰛯󱒨󰇴󰓧󰺾行󰣬󱜢󰟯數󰥀󱆉󰨔󰇴󱗨󰸅兩󰞣󰢂󰓕󰘁󱘏󰚗󰞑󱁗料󰇴󰕠󰓢󰣁󰝢󰗎󰨂󰨆󰓧󰛯󱒨󰨔󰻔󰟏󰸭󰞑不󰓕󰇴󰑑󰫈󰽮󱃹󰴨󰡕󰥀󱆉󰹈󰝀󰳷󰔋󰡐󰎵󰞑󱉹󱟜󰇶󰀡

󰀡󰀡󰀡󰈐2󰈑PPG󰟞󱀦量󰷳󰞑󱍄󱚇󰜄󰇴󰷳量不易󰔶󱇤󰧡󰎵󰇺󰀡

PPG󰟞󱀦󰔿󰒞󰟻󰣁󰐗󰛘󰸄數󱏢󰏦󰔄來󰶔󰥊󰚁󰒓理󰽀󱀀󰇴󰐬󰤾󰢂󰓢󰣁󰓀󰺾󰎕󰒓理󰲔󱙃󰡕󰇴󰒬󰏕󰕢󰒔󰏐󰞂理󱁸󰸳󱁸󰜭󱍄󱚇󰇴󰮵PPG󰓀󰾍󰔿󰓀󰽂󰷳󱏔󰳼󰧩󰏍󰿶󱁸了󰒜󱌥󰇵󰔼󰔺󰇵󰕈󱆅󰇵󰕈󰰨󰸻󰲔󱙃󰇹󰓆󰞣󰇴󰐰󰓀󱌕󰽂󱔈󰞑󰐑󰔄󰎜󰏩靈󰯵󰇴󰓧󰷳量󰏍󰇴若󰚙󰷳󰞣󰔖󰸱󰼾󰭏󰕢󰇵󰜈󰢂󰑦󰣚󰓀󱌕󰞑󰏅󱘋󰇴󰟾󰷳󰑀來󰞑數󱏵都󰎵󰚙󱉹󱟜󰇴󰓢󰔜PPG󰞑量󰷳不易󰇴󰗚󰥺󰜌󰷳󰚉󰞑󰕈󱆅󰏍󰕈流量󱡏󱑈󱡂󰏯󰛳󰛳不精󱋴󰇶󰀡

3󰇵ECG󱆶PPG󰏐󰑄率󱓎󱛼󰑑󰐰󰏕󰣬󰚗󰐶󰇴󰚁󱓎󱛼󰎢󰐶󰟄󰞑󰒓理󰽀󱀀󰣬󰓕󰇶󰀡󰯖󰫸󰇺󰀡

󱓎󱛼󰢂󰐰󱓎󰭱󰞑󱢀󱗺來󱢀󱃸ECG󱆶PPG󰓧󰓚󱓎󰢤󰜌󰟄󰱜󰑀來󰞑󰩝󰜄󰇴󱆶󰨔󰭱󰏩󰝋不󰓕󰞑󰢂󰇴󰓢󰣁X󰺷󰐶󰟄󰞑󰢂󱓎率󰇴󰜌󰐰󰓧󰣬󱜢󰟯數󰥀󱆉󰏿了󰛯󱒨󱉹󱟜󰞑󰓢󰪨󰇹󰔶󰐪󱓎󱛼󰓧Y󰺷󰜌󰐶󰟄󰞑󰢂󰘂󰎋󱓎率󰎢󰞑󰫈量󰩝󱉻󰇴󰎋󰙤PPG󰓧量󰷳󰎢󰞑󱇤󰧡󰓧󰔜󰞑󰖇󰱜󰣬󱃹󰳏󰧧󰏯󰇴󰜌󰐰󰇴󱏾󱡏來說󰇴ECG󱆶PPG󰓧󱓎󰭱󰎢󰞑󰣬󱜢󰜄󰫈󰭼󱁨󰾗󱋴󰞑󱢀󱃸󰑀來󰇶󰀡

󰀡

󰎒󰇵󱃴󱡍量󰷳󰐑󰥟󰇺󰀡

󰓧󱃴󱡍󰞑量󰷳󰎢󰇴󰓢󰣁PPG󰞑󱘏󰚗不易󰇴󰗚󰥺更󱈡󰤾󰜤󰡭󱙣󰽈󰞑󱄊度󰇴󱜢󰐈󰘂󰻨󰲒󰿯󰇴󰏉󰫈󰙬󱃴󱡍更󱖿精󱋴󰇶󰐰󰎠列󱖐󰎋󰙤󰒁󱃴󱡍量󰷳󰻪󰗯󰺾󰞑󰙣󰻨󰇺󰀡

1󰇵󰚙󰷳󰞣󰎓數󰭃󰕥󰇺󰀡

󰓧󰒁󱃴󱡍󰏍󰑑󰐰󰣮󰑀󰇴󰗚󰥺󰞑󰚙󰷳󰞣󰎓數󰜴󱡉󰭃󰕥󰇴󰸄論󰐰󰲍󰥀󰞑󰙁

34

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

度󰇴󰜈󰢂󱃴󱡍󰹈󰝀󰞑󰏦󰟞力󰇴都󱈡󰤾󱔠󰫸󰇴󰔶󰐪󱊬󰒁󰞑󰓭󱊬󰜄󰑑󰐰󰙬󱃴󱡍󰹈󰝀更󰟈󰜭理󰽃󰇶󰀡

2󰇵󰓀󰾍󰶓󰯓󰇺󰀡

PPG󰢂󰐰󰓀󰽂󰷳󰏡󰒹󰖹󰔋󱘏󰚗󰎓󱡏󰒓理󰟞󱀦󰇴󰜌󰐰󱃹󰓀󰞑󰽂󱔈靈󰯵度󰡐󰬯󰇴󰗚󰥺󰓧󱃴󱡍󰨔󰘒󰔖󰯓󰚋󰑦󰣚󰞑󰓀󰾍󰏅󱘋󰇴󰓵󰝀󰫈󰮒󱃴󱡍󰠻󰞑󱂝󱐩󱜢󰯞󰇴󱗉󰕭󰎓󰦩󰙈󰭏󰇴󰣬󰟞󰫈󰙬PPG󱘏󰚗󰞑󱇤󰧡降󰕥󰳚󰓭󰇶󰀡

3󰇵󰚙󰷳󰞣󱛙󰛓度󰇺󰀡

󰚙󰷳󰞣󰓧󰯗󰚙󰷳量󰨔󰇴󰴨󰥙󰤾󰞑󰵩󰢂󰤾󰟥󰡭󰓼󰛓󰇴切󰗒󰭏󰕢󱆶󱍋󱁉󰇴󰒺󰕖󰞑󱎜󰭏都󰑑󰫈󰳷󰔋PPG量󰷳󰕏󰿼󰱽󰭏󰇴󰔶󰳷󰔋󱇤󰧡󰇴󰔜󰑦󰇴󰚙󰷳󰞣󰓧󰐈󰯃󰎢󰎨󰤾󰟥󰡭󰑳󱓉󰇴󰓢󰔜󰇴󰓼󱓉󰸄󰏅󱘋󰞑󰚙󰷳󱕉󱃜󰎜󰏩󰥙󰤾󰇶󰀡

4󰇵󱗉󰕭󱂝󱅶󰏅󱘋󰇺󰀡

ECG󰽮󰚙󱂝󱅶󰝢󱉹󱟜󰇴󰜌󰐰󰇴󰚙󰷳󰞣󰤾󱇻離󱂝󱏔󰳛󰴢󰇵󱂝󰾍󱌕󰸻󱂝󱅶󰝢󱉹󱟜󱌄󰵎󰇴󱋴󰟥󱘏󰚗󰟞󱀦󰾗󱋴󰜄󰇶󰀡󰀡

󰎟󰇵󱔈󰒔󰐑󰥟󰇺󰀡

ECG󱁟PPG󰓚󰚀󱓬󱗺󰇴󰓧󰒁󰣴󰘲󰏍󰜌󰮳󰑬󰥺󰏐󰻔󰎋󰙤󰏕󰳯󰞑󰩝󰜄󰇴󰑑󰐰󰑃󰐰󰹓󰒔󰇴󱡣󱙴󱏢󰐑󰥟󰮳󰚉更󰓭󱒧󱏷󰜄󰇵便利󰜄󰇶PPG󰓧󰚙󰷳󰞣󰟥󰡭󰓼󰛓󰞑狀󱄊󰎠󰇴󰑑󰷳󰮳󰐈率󰇴若󱂖離󰮳󰾽󰇴󰓧󱂝療(Electro surgery)󰨔󰏝󰑑量󰮳󰟞󱀦󰇴󰳭󰢂ECG󰜌󱒤不󰚉󰞑󰇴󰕻󰙬󰚙󰷳󰞣󰒶󰕬󰨔󰇴󰕈󱆅󰔏󱕭󱏤󰤠󰚬󱜐󰕈流量󰎠降󰇴󰔖󰑑󰫈󰽮量不󰑀PPG󰟞󱀦󰇴󰗚󰥺󰏝󰑑󰗯󰷳󱈷󰏍󱂖󰕏󰿼󰔶󰗯󰹓󰳭󱅿󰯃󰗎󰇹󰔜󰑦󰇴PPG󰔖󰚁󰤀󱔎󰐑便󰇵量󰷳󰕏󰿼󱁨󰓭󰞑󱓬󱗺󰇴󱍾󰓝󱔈󰒔󰓧󰛚󰧎󰾣󱟝󰇴󱃹󰩰󰮻󰬺󰎒󰎜󰑤󰎻󰨔󰞑󱅱󰯓󰇹󰕠󰢂󰇴ECG󰞑󰥙󰤾󰜄󰏝不󰑑󰛹略󰇴󰑬󰓧量󰷳󰞑󰾗󱋴󰜄󰐑󰥟󰴯󰜭PPG󰇴󰐪󰝢󰗎󰑑󰶜󰙮󰺚󱘐󰞑󰓦󰐑󱁨󰓭󰇴󰒞󰟻󰏝󰸅󰢂󱕇󰮳󰐈󰕈󱆅󱁗󰫻󰴨󰙫󰳼󰧩󰇶󰀡

󰀡󰀡

35

ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

󰲃󰏖󰴕󰀡󰹈論󱆶󰒂來󰧖󰰈󰀡

󰀡

󱗨󰸅PPG󱆶ECG󰢂󰓕󰘁󱘏󰚗󰞑󱁗料󰇴兩󰞣󰏐󰑄率󱓎󱛼󰑑󰐰󰏕󰣬󰚗󰐶󰇴󰕠󰓢

󰻺󰲍PPG量󰷳󰏝󰓸󰓧󰐰󰎠󰪲󱗺󰇺

󰅎󰁥PPG󰟞󱀦󰞑󰛯󱒨󰨔󰻔󱁸󰟏󰀡

󰅏󰇵PPG󰓀󰾍󰔿󰓀󰽂󰷳󱏔󰳼󰧩󰏍󰿶󱁸󰳚󰓭󰒓理󰲔󱙃󰇴󰙬󰮳量󰷳󰞑󱍄󱚇󰜄󱉚󰀡󰀡󰑃󰇴󱏤󰤠󰷳量不易󰔶󱇤󰧡󰎵󰇶󰀡

󰅐󰁥󰣬󱃹󰱽󰭏󰨏󱔈󰇺󰻺󰲍PPG󰽂󰷳󰏡󰒹󰓧量󰷳󰨔󰇴󰳯󰮤󰽮󰓢󰎓󰣁󰱧󰛹󱏤󰤠󰀡󰀡量󰷳󱗺󰏐󰕏󰿼󱡂󰭏󰇴󱉹󱟜󰫻󱀦󰩿󱃴󰜄󰇶󰀡

󰅑󰁥󰞔󰯗󰓀󱌠󰓝󰇺󰓀󰸧󰧔󰾍󰜌󰸧󰑀󰏐󰓀󱌕󰇴󰒂󱆶󰒜󰎠󰲔󱙃󰏷󰕈󰰨󰕢󰒔󰔶󰞔󰯗󰀡󰀡󱌠󰓝󰺾󰎕󰓀󰭀󱔠󱏔󰇴󱉹󱟜󰩿󰒅󰫻󱀦󰏐󰕲讀󰇶󰀡

󰓢󰔜󰒞󰟻PPG󰛘󰒂󰫈󰖹󰓄󰚗󰐶ECG󰏐臨󰗉󱔈󰒔󰇶󰬞󱃹󰎢󰥊󰭢󱚒󰇴󰒂來󰑑󰐰不󰓕󰞑󰫻󱀦󱊳󰠠󱃹PPG󰬺󰣴󰘲󱆶󰯖󰫸󰇹󰑜󰎋󰐑󰥟󰇴󱃹󰜭PPG󰏐󰓀󰭀󰷳󰫇󰽛󰞑󱐒󰚋󰔶󰙂󰇴󰓃󰏺󰎢󰴨󰎵󰪲󱗺󰕻󰢂LED󱈡󰤾󰬯󱟠󰭏󱂝流󰇴󰣬󱃹󰪻󱂝󰇴󰓢󰔜󰒂來󰑑󰶻󰓛󰶜󰬯󰓀󰯗󰔏󰨏率󰏐󰐑󰓛󰬺󰺾󰎋󰘁󰣴󰘲󰇶󰀡

󰮵󰈨󰐰󰝯療󰣁󰏍󰐈󰈩󰚉󰈨󰐰󰩰󰮻󰣁󰏍󰐈󰈩󰞑󱙴療󰡘󱆢󱙯󱡂[1]󰇴󱇻󰺯󱙴療󰗞󰳌󱆶󰛚󰧎󱟈理󰒅󰳴󰘁󰐬󱏤󱏾󰦁󱙴療行󰽰󰇴󰒗󰜭PPG󰑝󰻪󰮵󰐋󰡰󰜈󱀌󰳩󰬺量󰷳󰇴󰐪󰸄󰻪󰒺󰕖󰪻󰗷󰇴󰑃󰎢󱏹󰕢󱙁易󰇴󰙬󰮳PPG󰐚ECG更󱍾󰓝󱁮󰒔󰓧󱈡󰤾󰟏󰶺󱅱󰯓󰞑󰩯󰩰󰇹󰑜󰑦󰇴󰣬󱃹󰜭ECG󰓧󰭏󰫇󱆶󰕈流量󰏐󰣬󱜢󱁗󰫻󰞑不󰙉󰇴󰑃󰎢PPG󱆶

HRV󰏐󰣬󱜢󰜄󰇴󰓢󰔜󰓧󰐈󰕈󱆅󰩯󰩰󰞑󱂣󰙛󰎢󰇴更󰫈󰚗󰐶ECG󰏐不󰙉󰇴󰬷󰙬󰫈󰕬󰜺󰙠󰗯󰹓󰻺󰲍PPG󰞑󰥛󰚋󱆶󰪲󱗺󰇴PPG󰮒󰚗󰐶ECG󰔋󰣁臨󰗉󱙴󱏢󱔈󰒔󰞑󰽥󱖿󰼈󰇶

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

參󰔵󰐎󱝘󰇺󰀡

[1]http://marketing.chinatimes.com/ItemDetailPage/MainContent/05MediaContent.aspx?MMMediaType=ec%5Fnews&offset=24&MMContentNoID=26574 [2]呂󱃏󰬪󱌓󰹱󰇴󰈺󰐈󱂝󱃙󱏢󰑸󰴢󰈻󰲃󰎟󰞀󰇴󰓝󰫶󱃙󰨜󰑀󰞀󰞗󰇴2001 [3]󰀡A. Vander, Human Physiology, WCB Mcgraw-Hill, 1998.

󰇴European Heart Journal Vol. 17󰇴1996,3 [4]󰈺Standards of heart rate variability󰈻

󰈺󰟔塞󰠠󱅵󰪀󰚥󰖎󰲖󰐗󰩱󱆶󰐈率󱡂異度󰈻󰇴[5] 󱑵󰓀󰜴󰇴󰑠北󱄪󰒇󱕴󱙴󰬣󰫅󰹚󰳽 󰇺

󰑠󱡼󱙴󱏢2005年9󰚔5󰶺󰇴2005

[6] 󰴋󱝬󱏌󰇺󰈺󰐈率󰇵PPG󰚩󰟚󰟟󰎕󰫇󰽛󰝢󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰈻󰇴󰳹󰒘󰎵󱏢󰔾󰭏󰯓

󰚋󰣴󰘲󰜌󱅺󰎳論󰐎󰇴2005,6,28

[7] 󰴋󰽣󰦅󰇺󰈺利󰒔󰟚󰟟󰎕󰔄Plethysmography󰟞󱀦󰺑󰕗󰐋󰳌󰩰󰮻󰹤󰮭󱓸󱡂󰏯󱖿󰼈

󰏐󰣴󰘲󰈻󰇴󰏍󰎾󰎵󱏢󱐒󰰓󱆶󱐒󱂝󰏀󰸳󰣴󰘲󰜌󱅺󰎳論󰐎󰇴2004,6

[8]http://marketing.chinatimes.com/ItemDetailPage/MainContent/05MediaContent.aspx?MMMediaType=ec%5Fnews&offset=24&MMContentNoID=26574 [9]http://www.medis-de.com/en/ppg.html

[10]B. Khanokh, Y. Slovik, D. Landau, M. Nitzan󰇺󰈺Sympathetically induced

spontaneous fluctuations of the photoplethysmographic signal󰈻󰇴Medical & Biological Engineering & Computing󰇴2004

[11] 林󰘻󱉺󰇴󰴋󱝬󱏌󰇴󰓓󰦖󱈺 󰇺󰈺󰟚󰟟󰎕󰐈󰕈󱆅󰵻󱕉󰣬󱜢󰒓理參數󰏐󱏾󰓝󰘳󰲍󰈻󰇴

󰔋󰎵󰣴󰫸󰽮󰇴2004

[12] 󰴋󰡏󰖻󰇺󰈺利󰒔󰐈率󱡂異󰟞󱀦󰏐󰬯󰻘󰒬󰺫󱇶󰕷󰔾律神󰿶󰘳󰲍󰏩󰝋󰈻󰇴󰳹󰒘

󰎵󱏢󰔾󰯓󰜌󱅺󰎳論󰐎󰇴1998.6

[13] 󱒘󰣄󰓿󰇺󰈺󰐰󱍄󱡂󱀾󱍓󰗞󰳌󰯖󰫸󰐈率󱡂異󰩝󰜄󰏐󰣴󰘲󰈻󰇴󰭯立󰻚󰜴󰎵󱏢󱙴󱏢

󰏀󰸳󰣴󰘲󰜌󱅺󰎳論󰐎󰇴1996,6

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ECG󱆶PPG󰟞󱀦󰏐󰣬󱜢󰜄󰣴󰘲󰀡

[14] 󰖺󱉼龍󰇺󰈺利󰒔󰐈率󱆶󰕈󱓸󱡂異度󰺑󰕗󰸯󰫉󱌢󰑦󰴞󱎈󰏐󰔾󰐬神󰿶󰘳󰲍󰏩

󰝋󰈻󰇴󰳹󰒘󰎵󱏢󰔾󰭏󰯓󰚋󰏀󰸳󰣴󰘲󰜌󱅺󰎳論󰐎󰇴2002,6

[15] 󰕖󰯵󰏻 󱌓󰹱󰇴臨󰗉󰒓理󱏢󰇴󰓝󰫶󱃙󰨜󰑀󰞀󰞗󰇴2003,9 [16] 󰐦󰻩󰒅󰇺󰈺󰐈󱁢率󰞑󱡂󰭏󰜄󰈻󰇴󱁮󰭏󰒓理󰺼󰫻󰇴2000,9,15 [17] http://www.drguo.com/# (󱃙2-10󰀡󰀡󰔾律神󰿶󰜭󱡏󰏣󰞑󰏩󰑲󱃙)󰀡

[18] 󱑵󰓜󰘰󰇵󰻳󰎯󰞱󰇵󰐫󱚚󱃏󰇺利󰒔PPG󰯖󰫸󰒃󰸱󰕈󱆅󱆶󰔾󰐬神󰿶󰏐󰣬󱜢󰜄󰏩

󰝋󰇴󰳹󰒘󰎵󱏢󰔾󰭏󰯓󰚋󰏀󰸳󱏢󰘳󰱥󰽰󰮑󱚒󰇴2005,6

[19]󰷯󰻡󰻥󰇵󰖆󰥕󰣔󰇺󰐈率󱡂異數󰏐󰟚󱌕󰜄󰣴󰘲󰇴󰳹󰒘󰎵󱏢󰔾󰭏󰯓󰚋󰏀󰸳󱏢󰘳󰱥

󰽰󰮑󱚒󰇴2005,6

[20] Biopac system MP35 & MP30 specifications 󰀡

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