Wheezing sound multi-channel detection air flue provocative test instrument and pick up and use the method for wheezing sound
Technical field
The present invention relates to asthma diagnostic equipment technical field, relate in particular to a kind of wheezing sound multi-channel detection air flue provocative test instrument and pick up and use the method for wheezing sound.
Background technology
Wheezing sound is the topmost feature of asthma, and the generation of wheezing sound is not subjected to the consciousness domination, and the most direct sign when being asthma attack also is simultaneously the most objectively observation index of asthma.The appearance of wheezing sound mainly is because bronchioles spasm widely in the lung, when exhaling, and a kind of pathologic breath sounds that air-flow produces by narrow bronchioles tube chamber, the most obvious when exhaling.But, all do not use so far this index to carry out airway hyperreactivity both at home and abroad and measure, but use the indirect indexes such as forced expiratory volume in first second FEV1, airway resistance to test.
Wheezing sound is not used following some reason: 1, the generation of wheezing sound has the prominent characteristics of ending of burst, can't predict in advance; 2, there is no clinically relevant medical apparatus and instruments at present, cause the wheezing sound cannot record; 3, wheezing sound can't computer identification, can't accomplish with respiratory waveform synchronously, therefore on respiratory waveform, can't identify; 4, not standardization etc. of the judgement that can not get papery report persistence 5, wheezing sound.
The airway hyper-reaction sensing equipment of present domestic use is generally from state's import such as Japanese, American-European, China is without this production, even external imported product in use, also there are many drawbacks, take the quantitative suction apparatus such as German Jaeger, Kang Xun as example, there is following shortcoming in this type of quantitative suction apparatus: 1. price is expensive, has increased purchase cost; 2. manually change drug level, inconvenient operation; 3. need repeatedly to carry out FEV1 and measure, use duration; 4. inhaling medicine and FEV1 detects and can not carry out synchronously; 5. unsafe factor is many in the mensuration process: fix such as program, can not be interrupted, have too much Sucked medicine, cannot in time, rapidly, effectively suck cushion, need manually to use bronchodilators, and need the experimenter to be used.
For addressing the above problem, applicant's patent of invention ZL200910225753.1, denomination of invention is tester for airway responsiveness by humidity method, a kind of measurement of bronchial responsiveness instrument that can automatically control administration and drug level is provided, judge asthma in order to utilize accurately wheezing sound, it is synchronous to realize that wheezing sound detects with the suction medicine, need a kind of wheezing sound multi-channel detection air flue provocative test instrument of design, to solve following problem, real time record and labelling such as wheezing sound, get the papery report, make electronic health record, can carry out overall process recording playback to testing process, when show in the experiment, at what drug level, wheezing sound appears in drug dose, show position that wheezing sound occurs and and breathing phases between relation etc.
Summary of the invention
The invention provides a kind of wheezing sound multi-channel detection air flue provocative test instrument, be used for picking up and identify wheezing sound, and utilize wheezing sound to take a decision as to whether the asthma outbreak.
For solving the problems of the technologies described above, technical scheme of the present invention is: wheezing sound multi-channel detection air flue provocative test instrument comprises:
Medicinal atomized device, described atomising device are used for the Experimental agents atomizing is sucked for the experimenter take air pressure pump as power source, and described atomising device comprises at least one jet atomization device, is provided with at described jet atomization device and sucks pipe;
Input equipment, described input equipment comprise that several electrode patchs and several are used for picking up the pick up of wheezing sound;
Controller, described medicinal atomized device, pick up and electrode patch are electrically connected with described controller respectively, described controller inside is provided with integrated circuit, and described integrated circuit is used for the signal of described pick up and electrode patch input is carried out processing and amplifying, analog digital conversion, synchronously conversion and calculation process;
Output device, described output device is electrically connected with described controller, is used for image demonstration, audio frequency broadcast and electronic health record printout;
Memorizer, described memorizer is electrically connected to the communication interface of described controller.
As a kind of improvement, described electrode patch and described pick up are wholely set, and the electrode contact of described electrode patch is positioned at a side of described electrode patch, and described pick up is arranged on the opposite side of described electrode patch by the gluing layer.
As a kind of improvement, described output device is computer.
The present invention also provides a kind of method of utilizing wheezing sound multi-channel detection air flue provocative test instrument to pick up and use wheezing sound, is convenient to the doctor and utilizes wheezing sound to judge whether the experimenter suffers from asthma.
For solving the problems of the technologies described above, technical scheme of the present invention is: a kind of method of utilizing wheezing sound multi-channel detection air flue provocative test instrument to pick up and use wheezing sound may further comprise the steps:
(1) medicine excites, and uses medicinal atomized device to make experimenter's inhalation test medicine;
(2) pick up wheezing sound, stick electrode patch and pick up at experimenter's shirtfront and back, utilize pick up to gather the wheezing sound signal, utilize electrode patch to gather electrocardiosignal and breath signal;
(3) wheezing sound signal and the electrocardiosignal of picking up in the step (2) are carried out respectively processing and amplifying, analog digital conversion and synchronously processing, and the storage data;
(4) audio identification compares the wheezing sound signal after step (3) is processed and the typical wheezing sound signal that prestores;
(5) according to the comparative result in the step (4), judge whether the experimenter has the asthma outbreak, and show in real time with wheezing sound and with synchronous ecg wave form and the respiratory waveform of described wheezing sound that wheezing sound passes through player plays;
(6) will be judged to be the time that the wheezing sound of asthma outbreak occurs and mark at respiratory waveform, and show drug level and drug accumulation amount when wheezing sound occurs.
Owing to adopted technique scheme, the invention has the beneficial effects as follows:
The present invention by medicinal atomized device to experimenter's administration, pass through the microphone pickup wheezing sound during administration, in the test process, real time record ecg wave form and respiratory waveform, when wheezing sound occurs, carry out real time record at respiratory waveform, because electrode patch and pick up all are provided with a plurality of, be located at respectively experimenter's shirtfront and back, can reflect in real time the human body that wheezing sound occurs, the wheezing sound that detects if exist and the similar wheezing sound of signal that prestores, then is judged to be the asthma outbreak through comparing with the typical wheezing sound signal that prestores within the certain error scope, but this wheezing sound real-time recording, play, playback, and printable electronic health record, the time that this wheezing sound occurs can mark at respiratory waveform, and shows drug level and drug accumulation amount that this moment, the experimenter sucked.
Owing to be provided with the input equipment such as electrode patch and pick up, can carry out the collection of electrocardiosignal and wheezing sound, realized picking up of wheezing sound; Owing to be provided with controller, memorizer and output device, by controller the signal that collects is processed, the generation of discriminatory analysis wheezing sound, and make wheezing sound and respiratory waveform synchronous, can realize the storage of wheezing sound by memorizer, owing to be provided with output device, playback, reduction and the real time record of wheezing sound and labelling etc. have been realized by output device.
Description of drawings
The present invention is further described below in conjunction with drawings and Examples.
Fig. 1 is the structured flowchart of embodiment of the invention wheezing sound multi-channel detection air flue provocative test instrument;
Fig. 2 is the structural representation of electrode patch among Fig. 1;
Fig. 3 is the pickup circuit theory diagrams of embodiment of the invention wheezing sound multi-channel detection air flue provocative test instrument;
Among the figure: the medicinal atomized device of 1-; The 2-electrode patch; The 21-electrode contact; The 3-pick up; The 31-jointing; The 4-controller; The 5-computer; The 6-memorizer.
The specific embodiment
As depicted in figs. 1 and 2, wheezing sound multi-channel detection air flue provocative test instrument comprises:
Medicinal atomized device 1, this medicinal atomized device 1 is take air pressure pump as power source, be used for the Experimental agents atomizing is sucked for the experimenter, medicinal atomized device 1 comprises at least one jet atomization device, be provided with at the jet atomization device and suck pipe, in the present embodiment, atomising device related in the operation principle of medicinal atomized device 1 and applicant's the patent of invention ZL200910225753.1 tester for airway responsiveness by humidity method is identical, does not do herein and gives unnecessary details;
Input equipment, input equipment comprises that several electrode patchs 2 and several are used for picking up the pick up 3 of wheezing sound, electrode patch 2 is wholely set with pick up 3, as shown in Figure 2, the electrode contact 21 of electrode patch 2 is positioned at a side of electrode patch 2, pick up 3 is arranged on the opposite side of electrode patch 2 by the gluing layer, and the centre position of pick up 3 is provided with jointing 31;
Controller 4, medicinal atomized device 1, pick up 3 and electrode patch 2 all are electrically connected with controller 4, controller 4 inside are provided with integrated circuit, integrated circuit is used for input signal is carried out processing and amplifying, analog digital conversion and calculation process, illustrated in fig. 3 is single pass pickup circuit, be used for picking up the wheezing sound signal, and signal is amplified, medicinal atomized device 1 is sent to drug level and drug accumulation amount in the controller 4 in real time;
Be used for the output device that image shows and audio frequency is play, output device is electrically connected with controller 4, and in the present embodiment, output device is computer 5;
Be used for the memorizer 6 of data storage, memorizer 6 is electrically connected to the communication interface of controller 4, carries out two-way communication with controller 4, and in the present embodiment, memorizer can be the computer-internal hard disk, but also Direct Attached Storage device of controller.
A kind of method of utilizing wheezing sound multi-channel detection air flue provocative test instrument to pick up and use wheezing sound may further comprise the steps:
(1) medicine excites, and uses medicinal atomized device to make experimenter's inhalation test medicine, contains in experimenter's mouth and sucks pipe, and medicinal atomized device makes experimenter's Sucked medicine with medicinal atomized;
(2) pick up wheezing sound, stick electrode patch and pick up at experimenter's shirtfront and back, each pick up is arranged on the different position of human body, utilizes pick up to gather the wheezing sound signal, utilizes electrode patch to gather electrocardiosignal and breath signal;
(3) wheezing sound signal and the electrocardiosignal of picking up in the step (2) are carried out respectively processing and amplifying, analog digital conversion and synchronously processing, and the storage data;
(4) audio identification compares the wheezing sound signal after step (3) is processed and the typical wheezing sound signal that prestores;
(5) according to the comparative result in the step (4), judge whether the experimenter has the asthma outbreak, and decision method is: differ larger with the wheezing sound that is compared, then be judged as and do not suffer from asthma, differ in suitable scope with the wheezing sound that is compared, then be judged to be the asthma outbreak; Show in real time with wheezing sound and with synchronous ecg wave form and the respiratory waveform of this wheezing sound, wheezing sound passes through player plays;
(6) will be judged to be the time that the wheezing sound of asthma outbreak occurs and mark at respiratory waveform, and show drug level and drug accumulation amount when wheezing sound occurs.
When present embodiment uses, use medicinal atomized device to make experimenter's inhalation test medicine, the experimenter is carried out medicine to be excited, contain in experimenter's mouth and suck pipe, medicinal atomized device is with medicinal atomized, make experimenter's Sucked medicine, the patient inhales dose and inhales concentration and all can control, electrode patch is attached to patient's shirtfront and the relevant position of back, inhale synchronous detecting electrocardiosignal in the medicine process the patient, the wheezing sound signal, synthetic respiratory waveform makes ecg wave form, respiratory waveform and wheezing sound signal are synchronous, and the multichannel ecg wave form and the respiratory waveform that gather by electrocardio paster and pick up pass through Computer display out.
The controller inside of wheezing sound multi-channel detection air flue provocative test instrument is provided with integrated circuit, the signal that electrode patch and pick up detect all is sent in the integrated circuit of controller, the acoustical signal of microphone pickup carries out processing and amplifying analog digital conversion-calculation process-audio identification through integrated circuit, the wheezing sound real-time play that computer gathers each pick up, audible spectrum shows in real time, because controller also is connected with memorizer, the wheezing sound data of microphone pickup will be stored in the memorizer, the two-way communication of memorizer and controller realizes the storage of wheezing sound signal, reduction and playback.
The method of present embodiment audio identification is, the typical wheezing sound signal data of some frames is stored in the memorizer, every group of acoustical signal and these typical wheezing sound signals that controller will pick up compare, in the range of error of regulation, two groups of data are more approaching, wheezing sound signal when the acoustical signal that then picks up is the asthma patient outbreak, and mark at respiratory waveform, controller will send alarm signal, remind medical personnel to carry out next step operation, as suck the operations such as cushion, on display, can see the wheezing sound which pick up detects, the human body of the position judgment generation wheezing sound by this pick up, and the phase relation of this wheezing sound and respiratory waveform.
The present invention gathers electrocardiosignal and breath signal by electrode patch, by microphone pickup wheezing sound signal, the wheezing sound signal is through the processing and amplifying of controller, the processing such as analog-to-digital conversion, synchronous with ecg wave form and respiratory waveform, and by outut device with ecg wave form, respiratory waveform, MCVF multichannel voice frequency frequency spectrum and Sucked medicine concentration and drug accumulation amount show; The wheezing sound that controller will pick up carries out real-time recording, broadcast or playback, and marks at respiratory waveform, and graphical information can print by the mode of electronic health record.
More than show and described ultimate principle of the present invention and principal character and advantage of the present invention.The technical staff of the industry should understand, and the present invention is not restricted to the described embodiments, and without departing from the spirit and scope of the present invention, the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.The claimed scope of the present invention is defined by appending claims and equivalent thereof.