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慢性阻塞性肺疾病患者呼吸音声谱特征研究

Study on the spectral characteristics of breath sound in patients with chronic obstructive pulmonary disease

  • 摘要: 现代技术具备了对声波及相关的声学现象进行测量和定量研究的能力,尤其是近年来随着最新一代的电子听诊器(electronic stethoscope)的发展,使人们能够更为简便和精确地获取呼吸音。该研究对经肺功能检查确诊为慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)的患者 52例和健康对照者 36例,分别行呼吸音采样和分析研究,发现 COPD患者与健康人群的呼吸音在平均吸/呼时间比及呼吸频率上出现显著的差异(P<0.05);COPD患者与健康人群的呼吸音在吸气相与呼气相 50~200 Hz频段内的能量比出现显著差异(P<0.05)。呼吸音频谱分析可以客观量化 COPD患者与健康者肺通气功能的差异,是一种新的、灵敏的临床检测方法,可成为日后进一步研究个体是否患有气流受限等阻塞性疾病的判断依据,从而指导医生的诊断以及对患者的治疗。

     

    Abstract: Modern acoustics can measure and study sound waves and the related acoustic phenomena quantitatively. Especially, with the development of the latest generation of electronic stethoscopes in recent years, breath sounds are more easily and accurately obtained. In this study, breath sounds in 52 patients with chronic obstructive pulmonary disease(COPD) and 36 healthy controls are collected through pulmonary function tests. It is found that there are significant differences in inspiration-to-expiration ratio and breathing frequency between COPD patients and healthy people (P=0.002) and in the energy ratio between the inspiratory and expiratory phases in the 50~200 Hz frequency band (P=0.035). Breath sound spectrum analysis can objectively quantify the difference in lung ventilation function between COPD patients and healthy people, which, as a new sensitive clinical detection method, can be used as a criterion for doctors to diagnose whether an individual suffers from airway obstruction.

     

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