Wheezing sound multi-channel detection air flue provocative test instrument and pick up and apply 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 apply the method for wheezing sound.
Background technology
Wheezing sound is the topmost feature of asthma, and the generation of wheezing sound is not subject to consciousness domination, and the most direct sign while being asthma attack is also the most objectively observation index of asthma simultaneously.The appearance of wheezing sound is mainly due to bronchioles spasm widely in lung, in the time exhaling, and a kind of pathologic breath sounds that air-flow produces by narrow bronchioles tube chamber, the most obvious in the time exhaling.But, all do not use so far this index to carry out airway hyperreactivity mensuration both at home and abroad, but use the indirect indexes such as forced expiratory volume in first second FEV1, airway resistance to test.
Wheezing sound is not had following some reason by use: 1, the generation of wheezing sound has the prominent feature only of burst, cannot predict in advance; 2, there is no clinically relevant medical apparatus and instruments at present, cause the wheezing sound cannot record; 3, wheezing sound cannot be identified by computer, cannot accomplish to synchronize with respiratory waveform, therefore on respiratory waveform, cannot 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 current 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 is many drawbacks, taking 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 more expensive, has increased purchase cost; 2. manually change drug level, inconvenient operation; 3. need repeatedly to carry out FEV1 mensuration, with duration; 4. inhaling medicine can not synchronize and carry out with FEV1 detection; 5. in mensuration process, unsafe factor is many: as program is fixed, can not be interrupted, have too much Sucked medicine, cannot in time, rapidly, effectively suck cushion, need manually to use bronchodilators, and need experimenter to be used in conjunction with.
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, realizing wheezing sound detection synchronizes with suction medicine, need to design a kind of wheezing sound multi-channel detection air flue provocative test instrument, to solve following problem, as the real time record of wheezing sound and labelling, get papery report, make electronic health record, can carry out overall process recording playback to testing process, when show in experiment, at what drug level, there is wheezing sound 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, for picking up and identify wheezing sound, and utilize wheezing sound to take a decision as to whether 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, comprising:
Medicinal atomized device, described atomising device is taking air pressure pump as power source, and for Experimental agents atomization is sucked for experimenter, described atomising device comprises at least one jet atomization device, on described jet atomization device, is provided with and sucks pipe;
Input equipment, described input equipment comprises several electrode patchs and several are 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 for carrying out processing and amplifying, analog digital conversion, synchronously conversion and calculation process to the signal of described pick up and electrode patch input;
Output device, described output device is electrically connected with described controller, plays and electronic health record printout for image demonstration, audio frequency;
Memorizer, described memorizer is electrically connected to the communication interface of described controller.
Improve as one, 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 gluing layer.
Improve as one, 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 apply wheezing sound, is convenient to doctor and utilizes wheezing sound to judge whether 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 apply wheezing sound, comprises the following steps:
(1) medicine excites, and uses medicinal atomized device to make experimenter's inhalation test medicine;
(2) pick up wheezing sound, on experimenter's shirtfront and back, stick electrode patch and pick up, utilize pick up to gather wheezing sound signal, utilize electrode patch to gather electrocardiosignal and breath signal;
(3) the wheezing sound signal picking up in step (2) and electrocardiosignal carried out respectively to processing and amplifying, analog digital conversion and synchronously process, and storing data;
(4) audio identification, will compare through step (3) wheezing sound signal after treatment and the typical wheezing sound signal prestoring;
(5) according to the comparative result in step (4), judge whether experimenter has asthma outbreak, and ecg wave form and the respiratory waveform of synchronizeing by wheezing sound and with described wheezing sound show in real time, wheezing sound passes through player plays;
(6) time wheezing sound that is judged to be asthma outbreak being occurred marks on respiratory waveform, and shows drug level and drug accumulation amount when wheezing sound occurs.
Owing to having adopted technique scheme, the invention has the beneficial effects as follows:
The present invention by medicinal atomized device to experimenter's administration, when administration, pass through microphone pickup wheezing sound, in test process, real time record ecg wave form and respiratory waveform, while there is wheezing sound, on respiratory waveform, carry out real time record, because electrode patch and pick up are all provided with multiple, be located at respectively experimenter's shirtfront and back, can reflect in real time the human body that wheezing sound occurs, the wheezing sound detecting is through contrasting with the typical wheezing sound signal prestoring, if exist within certain error scope and prestore the similar wheezing sound of signal, be judged to be asthma outbreak, this wheezing sound can real-time recording, play, playback, and printable electronic health record, the time that this wheezing sound occurs can mark on respiratory waveform, and show drug level and the drug accumulation amount that experimenter now sucks.
Owing to being provided with the input equipment such as electrode patch and pick up, can carry out the collection of electrocardiosignal and wheezing sound, realize picking up of wheezing sound; Owing to being provided with controller, memorizer and output device, by controller, the signal collecting is processed, the generation of discriminatory analysis wheezing sound, and wheezing sound is synchronizeed with respiratory waveform, can realize the storage of wheezing sound by memorizer, owing to being provided with output device, realize playback, reduction and real time record and the labelling etc. of wheezing sound by output device.
Brief description of the drawings
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is the structured flowchart of embodiment of the present invention wheezing sound multi-channel detection air flue provocative test instrument;
Fig. 2 is the structural representation of electrode patch in Fig. 1;
Fig. 3 is the pickup circuit theory diagrams of embodiment of the present invention wheezing sound multi-channel detection air flue provocative test instrument;
In figure: the medicinal atomized device of 1-; 2-electrode patch; 21-electrode contact; 3-pick up; 31-jointing; 4-controller; 5-computer; 6-memorizer.
Detailed description of the invention
As depicted in figs. 1 and 2, wheezing sound multi-channel detection air flue provocative test instrument, comprising:
Medicinal atomized device 1, this medicinal atomized device 1 is taking air pressure pump as power source, for Experimental agents atomization is sucked for experimenter, medicinal atomized device 1 comprises at least one jet atomization device, on jet atomization device, be provided with and suck pipe, in the present embodiment, atomising device related in the operation principle of medicinal atomized device 1 and applicant's patent of invention ZL200910225753.1 tester for airway responsiveness by humidity method is identical, does not repeat herein;
Input equipment, input equipment comprises several electrode patchs 2 and several are 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 gluing layer, 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 are all electrically connected with controller 4, controller 4 inside are provided with integrated circuit, integrated circuit is for carrying out processing and amplifying, analog digital conversion and calculation process by input signal, illustrated in fig. 3 is single pass pickup circuit, be used for picking up wheezing sound signal, and signal is amplified, medicinal atomized device 1 is sent to drug level and drug accumulation amount in controller 4 in real time;
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;
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 computer-internal hard disk, and controller also can Direct Attached Storage device.
Utilize wheezing sound multi-channel detection air flue provocative test instrument to pick up and apply a method for wheezing sound, comprise the following steps:
(1) medicine excites, and uses medicinal atomized device to make experimenter's inhalation test medicine, and in experimenter's mouth, containing sucking pipe, medicinal atomized device, by medicinal atomized, makes experimenter's Sucked medicine;
(2) pick up wheezing sound, on experimenter's shirtfront and back, stick electrode patch and pick up, each pick up is arranged on the different position of human body, utilizes pick up to gather wheezing sound signal, utilizes electrode patch to gather electrocardiosignal and breath signal;
(3) the wheezing sound signal picking up in step (2) and electrocardiosignal carried out respectively to processing and amplifying, analog digital conversion and synchronously process, and storing data;
(4) audio identification, will compare through step (3) wheezing sound signal after treatment and the typical wheezing sound signal prestoring;
(5) according to the comparative result in step (4), judge whether experimenter has asthma outbreak, and decision method is: differ larger with the wheezing sound being compared, be judged as and do not suffer from asthma, differ in suitable scope with the wheezing sound being compared, be judged to be asthma outbreak; Ecg wave form and the respiratory waveform of synchronizeing by wheezing sound and with this wheezing sound show in real time, and wheezing sound passes through player plays;
(6) time wheezing sound that is judged to be asthma outbreak being occurred marks on respiratory waveform, and shows drug level and drug accumulation amount when wheezing sound occurs.
When the present embodiment uses, use medicinal atomized device to make experimenter's inhalation test medicine, experimenter is carried out to medicine to be excited, in experimenter's mouth, contain and suck pipe, medicinal atomized device is by medicinal atomized, make experimenter's Sucked medicine, 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 medicine process patient, wheezing sound signal, synthetic respiratory waveform, make ecg wave form, respiratory waveform is synchronizeed with wheezing sound signal, the multichannel ecg wave form gathering by electrocardio paster and pick up and respiratory waveform are by 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 is all 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 is also connected with memorizer, the wheezing sound data of microphone pickup will be stored in memorizer, the two-way communication of memorizer and controller, realize the storage of wheezing sound signal, reduction and playback.
The method of the present embodiment audio identification is, typical some frames wheezing sound signal data is stored in memorizer, controller compares the every group of acoustical signal and these the typical wheezing sound signals that pick up, in the range of error of regulation, two groups of data are more approaching, wheezing sound signal when the acoustical signal picking up is asthma patient outbreak, and mark on 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, wheezing sound signal is through the processing and amplifying of controller, the processing such as analog-to-digital conversion, synchronize with ecg wave form and respiratory waveform, and by outut device by ecg wave form, respiratory waveform, MCVF multichannel voice frequency frequency spectrum and Sucked medicine concentration and drug accumulation amount show; The wheezing sound picking up is carried out real-time recording, broadcasting or playback by controller, and mark on 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.