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首页> 外文期刊>COPD: Journal of Chronic Obstructive Pulmonary Disease >Computerized Respiratory Sounds in Patients with COPD: A Systematic Review
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Computerized Respiratory Sounds in Patients with COPD: A Systematic Review

机译:COPD患者的计算机呼吸音:系统评价

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摘要

Computerized respiratory sound analysis provides objective information about the respiratory system and may be useful to monitor patients with chronic obstructive pulmonary disease (COPD) and detect exacerbations early. For these purposes, a thorough understanding of the typical computerized respiratory sounds in patients with COPD during stable periods is essential. This review aimed to systematize the existing evidence on computerized respiratory sounds in stable COPD. A literature search in the Medline, EBSCO, Web of Knowledge and Scopus databases was performed. Seven original articles were included. The maximum frequencies of normal inspiratory sounds at the posterior chest were between 113 and 130Hz, lower than the frequency found at trachea (228 Hz). During inspiration, the frequency of normal respiratory sounds was found to be higher than expiration (130 vs. 100Hz). Crackles were predominantly inspiratory (2.9-5 vs. expiratory 0.73-2) and characterized by long durations of the variables initial deflection width (1.88-2.1 ms) and two cycle duration (7.7-11.6 ms). Expiratory wheeze rate was higher than inspiratory rate. In patients with COPD normal respiratory sounds seem to follow the pattern observed in healthy people and adventitious respiratory sounds are mainly characterized by inspiratory and coarse crackles and expiratory wheezes. Further research with larger samples and following the Computerized Respiratory Sound Analysis (CORSA) guidelines are needed.
机译:计算机化的呼吸声分析提供了有关呼吸系统的客观信息,可能对监测患有慢性阻塞性肺疾病(COPD)的患者和及早发现病情加重有用。为此,必须对稳定期COPD患者的典型计算机呼吸音有一个透彻的了解。这项审查旨在系统化稳定COPD中有关计算机化呼吸音的现有证据。在Medline,EBSCO,Web of Knowledge和Scopus数据库中进行了文献检索。包括七篇原创文章。后胸正常吸气声的最大频率在113至130Hz之间,低于气管的频率(228 Hz)。在吸气过程中,发现正常呼吸声的频率高于呼气声(130 vs. 100Hz)。裂纹主要是吸气的(2.9-5比呼气的0.73-2),特点是变量初始偏转宽度(1.88-2.1 ms)和两个周期持续时间(7.7-11.6 ms)的持续时间较长。呼气喘息率高于吸气率。在患有COPD的患者中,正常的呼吸音似乎遵循在健康人群中观察到的模式,而不定呼吸音的主要特征是吸气和粗糙的crack啪声和呼气声。需要对更大的样本进行进一步的研究,并遵循计算机化的呼吸声分析(CORSA)准则。

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