CN203710042U - Auscultation clothes and auscultation device - Google Patents
Auscultation clothes and auscultation device Download PDFInfo
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- CN203710042U CN203710042U CN201320554315.1U CN201320554315U CN203710042U CN 203710042 U CN203710042 U CN 203710042U CN 201320554315 U CN201320554315 U CN 201320554315U CN 203710042 U CN203710042 U CN 203710042U
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Abstract
The utility model discloses a piece of auscultation clothes. The piece of auscultation clothes comprises a body (21) and an auscultation head (22), wherein the auscultation head (22) is arranged at an auscultation position on the body (21). When the piece of auscultation clothes is used, a testee directly puts the auscultation clothes on a body, the position of the auscultation head corresponds to the auscultation position on the body of the testee, and a collector can diagnose the testee. After the testee puts on the auscultation clothes, even if the hand of the collector shakes or the body of the testee moves, relative movement between the auscultation head and the testee is kept in a smaller range, and external disturbance introduced by the situation is further reduced, so that errors of a diagnosis result are reduced. The utility model also discloses an auscultation device comprising the auscultation clothes.
Description
Technical field
This utility model relates to technical field of medical instruments, relates in particular to a kind of auscultation clothes.This utility model also relates to a kind of auscultation apparatus that comprises above-mentioned auscultation clothes.
Background technology
Respiratory murmur is commonly called as lungs sound, and it can reflect sound source, and can reflect the acoustic characteristic of the communication medias such as lung tissue, trachea and thoracic wall, by diagnosing effectively accurately respiratory system disease to the detection of respiratory murmur.Respiratory murmur research has related to the multiple subjects such as acoustics, biomedical engineering, electronics, computer science, pathology, otorhinolaryngology, physiology, develop into the boundary science of one kind of multiple subject crossing, be subject to the extensive of countries in the world scientist and paid much attention to.
Common respiratory murmur checkout gear is stethoscope, this stethoscope is mainly made up of pickup part, conduction portion and audition part, pickup part directly contacts with experimenter's auscultation position, and audition part contacts with picker, and conduction portion is connected between pickup part and audition part.The respiratory murmur at auscultation position reaches picker's sense organ position by conduction portion, and then diagnoses by the rule of respiratory murmur.
But, in diagnostic procedure, picker needs hand-held stethoscope to move around to determine the strongest position of sound and conduction orientation thereof at auscultation position, in this course, the situations such as moving appears in the shake that picker's hands occurs, experimenter's health can cause between auscultation head and experimenter occurring relatively moving, then introduce external interference, cause the error of diagnostic result larger.
In addition, this stethoscope in use also has following defect: auditory fatigue easily appears in picker in the process of multi collect respiratory murmur, causes picker to analyze accurately the signal in respiratory murmur; Because respiratory murmur is mostly mixing sound, itself belongs to small-signal, only relies on picker's audition to differentiate, and accuracy rate is relatively low; Picker is the rule based on respiratory murmur for experimenter's diagnosis mostly, and this rule only relies on the memory of picker's respiratory murmur rule in whole Diagnostic Time to experimenter to determine, causes the objectivity of the diagnostic result that picker makes poor.
In sum, how to reduce the error of the diagnostic result that picker makes according to experimenter's respiratory murmur, become those skilled in the art's great technical barrier urgently to be resolved hurrily.
Utility model content
The purpose of this utility model is to provide a kind of auscultation clothes, and these auscultation clothes can reduce the error of the diagnostic result that picker makes according to experimenter's respiratory murmur.Another object of the present utility model is to provide a kind of auscultation apparatus that comprises above-mentioned auscultation clothes.
To achieve these goals, this utility model provides following technical scheme:
Auscultation clothes, comprise body and auscultation head, and described auscultation head is arranged at the auscultation position place on described body.
Preferably, in above-mentioned auscultation clothes, described auscultation head is multiple.
Preferably, in above-mentioned auscultation clothes, described auscultation head comprises front auscultation head and back side auscultation head, and described front auscultation head is arranged at the positive auscultation position place on described body, and described back side auscultation head is arranged at auscultation position, the back side place on described body.
Preferably, in above-mentioned auscultation clothes, described front auscultation head comprises throat's auscultation head, bronchovesicular auscultation head and alveolar auscultation head, described bronchovesicular auscultation head comprises left side bronchovesicular auscultation head and right side bronchovesicular auscultation head, and described alveolar auscultation head comprises left side alveolar auscultation head and right side alveolar auscultation head.
Preferably, in above-mentioned auscultation clothes, described back side auscultation head comprises bronchus auscultation head, bronchovesicular auscultation head and alveolar auscultation head, described bronchovesicular auscultation head comprises left side bronchovesicular auscultation head and right side bronchovesicular auscultation head, and described alveolar auscultation head comprises left side alveolar auscultation head and right side alveolar auscultation head.
Preferably, in above-mentioned auscultation clothes, also comprise and be arranged at described body exterior, and cover the elastic bandage of described auscultation position.
A kind of auscultation apparatus, comprises auscultation clothes and diagnosis mechanism, and described auscultation clothes are the auscultation clothes described in above-mentioned any one, and the auscultation head of described auscultation clothes is connected with described auscultation mechanism by leading note line.
Preferably, in above-mentioned auscultation apparatus, the described mechanism that diagnoses comprises the signal processing instrument that the respiratory murmur of described auscultation head conduction can be treated to diagnosable signal.
Preferably, in above-mentioned auscultation apparatus, described diagnosis mechanism also comprises memorizer, and described memorizer is connected with described signal processing instrument.
Preferably, in above-mentioned auscultation apparatus, described diagnosis mechanism also comprises display, and described display is connected with described signal processing instrument.
In technique scheme, the auscultation clothes that this utility model provides comprise that body and auscultation head, this auscultation head are arranged at the auscultation position place on body.While using this auscultation to take, with it experimenter is directly through auscultation clothes, the corresponding experimenter in position of auscultation head auscultation position with it, picker can diagnose experimenter.The content of introducing than background technology, experimenter puts on after above-mentioned auscultation clothes, even if picker's hands is shaken, or experimenter's health occurs mobile, relatively moving between auscultation head and experimenter also can remain in less amplitude, and then reduce the external interference that above-mentioned situation is introduced, reduce the error of diagnostic result with this.
Because above-mentioned auscultation clothes have above-mentioned technique effect, the auscultation apparatus with these auscultation clothes also should have corresponding technique effect.
Brief description of the drawings
In order to be illustrated more clearly in this utility model embodiment or technical scheme of the prior art, to the accompanying drawing of required use in this utility model embodiment or description of the Prior Art be briefly described below, apparently, accompanying drawing in the following describes is only embodiment more of the present utility model, for those of ordinary skill in the art, do not paying under the prerequisite of creative work, can also obtain according to these accompanying drawings other accompanying drawing.
The structural representation that the auscultation that Fig. 1 provides for this utility model embodiment takes;
Fig. 2 takes the Facad structure schematic diagram under using state for the auscultation that this utility model embodiment provides;
Fig. 3 takes the structure schematic diagram under using state for the auscultation that this utility model embodiment provides;
The structured flowchart of the auscultation apparatus that Fig. 4 provides for this utility model embodiment;
Fig. 5 is the Changing Pattern diagram of the shown a kind of bronchial breathing sound of display;
Fig. 6 is the Changing Pattern diagram of the shown a kind of bronchovesicular breathing sound of display;
Fig. 7 is the Changing Pattern diagram of the shown a kind of vesicular breathing sound of display.
In upper Fig. 1-7:
Experimenter 10, body 21, auscultation head 22, elastic bandage 23, securing member 24, mike 25, leading note line 26; Throat's auscultation head 31, left side bronchovesicular auscultation head 32, right side bronchovesicular auscultation head 33, left side alveolar auscultation head 34, right side alveolar auscultation head 35, bronchus auscultation head 41, left side bronchovesicular auscultation head 42, right side bronchovesicular auscultation head 43, left side alveolar auscultation head 44, right side alveolar auscultation head 45, amplifier 51, A/D sampler 52, memorizer 53, respiratory murmur data base 54, de-noising processor 55, display 56.
Detailed description of the invention
Core of the present utility model is to provide a kind of auscultation clothes, and these auscultation clothes can reduce the error of the diagnostic result that picker makes according to experimenter's respiratory murmur.Another core of the present utility model is to provide a kind of auscultation apparatus that comprises above-mentioned auscultation clothes.
In order to make those skilled in the art understand better the technical scheme that this utility model provides, below in conjunction with the drawings and specific embodiments, the utility model is described in further detail.
As Figure 1-3, the auscultation clothes that this utility model embodiment provides can be used for gathering experimenter 10 respiratory murmur, and it comprises body 21 and auscultation head 22.Body 21 is for realizing auscultation head 22 and experimenter's 10 relative localization, its available elastomeric material is made, and to improve the positioning intensity between auscultation head 22 and experimenter 10, is convenient to adjust the position of auscultation head 22 simultaneously, particularly, body 21 can be made up of the good pvc material of permeability.Auscultation head 22 is arranged at the auscultation position place on body 21, and this auscultation position, corresponding to experimenter 10 auscultation position with it, needs the position of detecting breathing sound; Auscultation head 22 can directly contact with experimenter 10 skin under the effect of body 21, gathers experimenter 10 respiratory murmur with this vibrating diaphragm by its end; Auscultation head 22 can be connected with body 21 by securing member 24, and this securing member 24 can be made up of screw rod and nut.
Above-mentioned auscultation head 22 can be passed to place of auscultation mechanism by experimenter 10 respiratory murmur by traditional conduction portion, and picker can grasp experimenter 10 respiratory murmur rule by auscultation mechanism.
While using this auscultation to take, with it experimenter 10 is directly through auscultation clothes, the corresponding experimenter 10 in position of auscultation head 22 auscultation position with it, picker can diagnose experimenter 10.The content of introducing than background technology, experimenter 10 puts on after above-mentioned auscultation clothes, even if picker's hands is shaken, or experimenter 10 health occurs mobile, relatively moving between auscultation head 22 and experimenter 10 also can remain in less amplitude, and then reduce the external interference that above-mentioned situation is introduced, reduce the error of diagnostic result with this.
In order to improve the accuracy of diagnosis, conventionally need to carry out auscultation to experimenter 10 multiple auscultations position with it, therefore this utility model embodiment auscultation head 22 is set to multiple, the corresponding experimenter 10 of an each auscultation head 22 auscultation position with it.The concrete quantity of auscultation head 22 is determined according to concrete application scenarios.Thus, by the many places respiratory murmur of experimenter's 10 intracorporeal organs is comprehensively analyzed, and then draw diagnostic result comparatively accurately.
In addition, above-mentioned auscultation head 22 can only be arranged at experimenter 10 front, but in order further to improve the accuracy of diagnosis, above-mentioned auscultation head 22 comprises front auscultation head and back side auscultation head, front auscultation head is arranged at the positive auscultation position place on body 21, and back side auscultation head is arranged at auscultation position, the back side place on body 21.The position of front auscultation head and back side auscultation head can be mutually corresponding, can be not corresponding yet, specifically determine according to the respiratory murmur of experimenter 10 auscultation position is with it strong and weak.The quantity of front auscultation head and back side auscultation head all can be set to multiple, with this more comprehensively, exactly experimenter 10 is diagnosed.
According to clinical experience, the respiratory murmur at throat, bronchovesicular and the alveolar place of human body is relatively strong, therefore, above-mentioned front auscultation head comprises throat's auscultation head 31, bronchovesicular auscultation head and alveolar auscultation head, bronchovesicular auscultation head comprises left side bronchovesicular auscultation head 32 and right side bronchovesicular auscultation head 33, and alveolar auscultation head comprises left side alveolar auscultation head 34 and right side alveolar auscultation head 35.Wherein, left side bronchovesicular auscultation head 32 is in experimenter 10 left sides from top to bottom between first breastbone and second breastbone; Right side bronchovesicular auscultation head 33 is on experimenter 10 right sides from top to bottom between first breastbone and second breastbone; Left side alveolar auscultation head 34 is positioned at experimenter 10 lung field place, left side; Right side alveolar auscultation head 35 is positioned at experimenter 10 lung field place, right side.Above-mentioned five auscultation positions are diagnosed, be conducive to determine the strongest position and the conduction orientation thereof of respiratory murmur, and then experimenter 10 health is drawn to comparatively comprehensive, objective conclusion.It should be noted that, above-mentioned " left side " and " right side " are determined taking experimenter 10 as benchmark.
In like manner, back side auscultation head also can comprise bronchus auscultation head 41, bronchovesicular auscultation head and alveolar auscultation head, bronchovesicular auscultation head comprises left side bronchovesicular auscultation head 42 and right side bronchovesicular auscultation head 43, and alveolar auscultation head comprises left side alveolar auscultation head 44 and right side alveolar auscultation head 45.Wherein, bronchus auscultation head 41 is positioned at the 6th, the seven cervical vertebra places at back; Left side bronchovesicular auscultation head 42, right side bronchovesicular auscultation head 43, left side alveolar auscultation head 44 and right side alveolar auscultation head 45 are oppositely arranged with left side bronchovesicular auscultation head 32, right side bronchovesicular auscultation head 33, left side alveolar auscultation head 34 and the right side alveolar auscultation head 35 of front auscultation head respectively.
In order to improve the positioning precision of auscultation head 22, to reduce relatively moving between auscultation head 22 and experimenter 10, the auscultation clothes that this utility model embodiment provides also comprise elastic bandage 23, and this elastic bandage 23 is arranged at the outside of body 21, and cover the auscultation position on body 21.Above-mentioned elastic bandage 23 applies additional elastic force to auscultation head 22, make auscultation head 22 more closely with experimenter 10 skin attachement, there is the mobile impact for diagnostic accuracy in shake that the hands that further reduces picker with this occurs, experimenter 10 health.
The auscultation apparatus that this utility model embodiment provides comprises auscultation clothes and diagnosis mechanism, the auscultation clothes that these auscultation clothes are described for above-mentioned arbitrary embodiment, and the auscultation head 22 of these auscultation clothes is connected with auscultation mechanism by leading note line 26, and this auscultation mechanism is generally the mechanism that picker directly obtains respiratory murmur and draws diagnostic result.Because above-mentioned auscultation clothes have above-mentioned technique effect, the auscultation apparatus with these auscultation clothes also should have corresponding technique effect, repeats no more herein.
Further, in embodiment, auscultation head 22 can be connected with leading note line 26 by mike 25, is convenient to picker obtains respiratory murmur signal more clearly with this.
In order to obtain respiratory murmur signal more clearly, above-mentioned diagnosis mechanism comprises signal processing instrument, this signal processing instrument can conduct the respiratory murmur by auscultation head 22 and be treated to diagnosable signal, and as shown in Figure 4, this signal processing instrument specifically comprises amplifier 51 and A/D sampler 52.Visible, the respiratory murmur that auscultation head 22 detects will form required diagnosable signal after amplification, digital-to-analogue conversion, and picker can more objectively diagnose the respiratory murmur recording according to this diagnosable signal after treatment.
Further in technical scheme, above-mentioned diagnosis mechanism also comprises memorizer 53, and this memorizer 53 is connected with signal processing instrument.Thus, the diagnosable signal obtaining after treatment will be stored in memorizer 53, picker can recall historical information at any time, for clinical common respiratory disorder intelligent diagnosing method research provides Data Source, then prepares in advance for later stage diagnostic analysis pathological characters.Particularly, in above-mentioned memorizer 53, canned data can further be uploaded to respiratory murmur data base 54, so that data management.
Above-mentioned diagnosable signal can be exported by the mode of speaker, but in order to export more intuitively, exactly respiratory murmur signal and to show the Changing Pattern of respiratory murmur, the diagnosis mechanism that this utility model embodiment provides also comprises display 56, this display 56 is connected with signal processing instrument, and then characterize exactly the power of respiratory murmur, make picker can more directly grasp the rule of respiratory murmur.Meanwhile, this display 56 can be alleviated the situation that auditory fatigue easily appears in picker in the process of multi collect respiratory murmur.As shown in Fig. 5-7, wherein:
Bronchial breathing sound is that while breathing, air-flow forms at glottis, trachea the sound that turbulent flow produces, and similar tongue is raised to " Kazakhstan " sound that direct oral cavity sends while expiration.Active exercise when air-breathing, glottis broadening, air-flow is by fast; Passive exercise when expiration, glottis narrows, and air-flow is by slow, thereby it is higher to compare when air-breathing tone while exhaling, and sound equipment is stronger.
Bronchovesicular breathing sound is the mixed breath sounds that has bronchial breathing sound and vesicular breathing sound feature concurrently, and the character of its inhaled sound is similar to normal vesicular breathing sound, but tone is higher and louder; The character of its egressive is similar to bronchial breathing sound, but intensity slightly a little less than, tone is slightly low, pipe sample character is less, expiratory phase is slightly short, air-breathing and exhale between have extremely of short duration gap.Inspiratory phase and the expiratory phase of bronchovesicular breathing sound are roughly the same.
Vesicular breathing sound is because air passes in and out mobile result in bronchioles and alveolar.The air-breathing seasonal epidemic pathogens bronchus of flowing through enters alveolar, impacts alveolar wall, makes alveolar become anxiety from lax, and when expiration, alveolar is become laxly from anxiety, and the vibration of the elastic variation of this alveolar and air-flow is the principal element that vesicular breathing sound forms." fu-fu " sound of sigh sample or soft blowing sample all can be heard in most of lung field.The tone of vesicular breathing sound is relatively low, and when air-breathing, sound equipment is stronger, and tone is higher, time compare length; When expiration sound equipment a little less than, tone is lower, time compare short.Breast bottom and omoplate bottom are the strongest, take second place in axillary fossa bottom, apex pulmonis and nearly lung lower edge region a little less than.Normal person's alveolar respiratory murmur is strong and weak relevant with sex, age, lung tissue elasticity, thoracic wall thickness and breath size, and male is strong compared with women, and child fairly old person is strong, podge compared with leptosomatic habit person a little less than.
Bronchial breathing sound, bronchovesicular breathing sound and vesicular breathing sound are all converted into viewdata by aforementioned display device 56, and the accuracy of diagnostic result will significantly improve.
Because the frequency band of normal breath sound mainly concentrates between 100～1500Hz, and abnormal breathing sound mixes according to state of an illness difference frequency band distribution, wherein hear sounds is great for the impact of respiratory murmur, because the frequency range of hear sounds is 0～600Hz, this just means that most respiratory murmur and hear sounds mix.And in respiratory murmur signal acquisition process, there is the interference of multiple extraneous factor, as the rocking of: patient body, surrounding disturbs, recording system self disturbs etc., has inevitably introduced various noises.Therefore,, in order to strengthen the rule of display 56 shown signals, can be further processed the signal of signal processing instrument output by de-noising processor 55, to desalinate the impact of interfering signal on respiratory murmur.
In this description, each embodiment adopts the mode of going forward one by one to describe, and what each embodiment stressed is and the difference of other embodiment, between each embodiment identical similar part mutually referring to.
To the above-mentioned explanation of the disclosed embodiments, make professional and technical personnel in the field can realize or use this utility model.To be apparent for those skilled in the art to the multiple amendment of these embodiment, General Principle as defined herein can, in the situation that not departing from spirit or scope of the present utility model, realize in other embodiments.Therefore, this utility model will can not be restricted to these embodiment shown in this article, but will meet the widest scope consistent with principle disclosed herein and features of novelty.
Claims (8)
1. auscultation clothes, it is characterized in that, comprise body (21) and auscultation head (22), described auscultation head (22) is arranged at the auscultation position place on described body (21), described auscultation head (22) is multiple, described auscultation head (22) comprises front auscultation head and back side auscultation head, and described front auscultation head is arranged at the positive auscultation position place on described body (21), and described back side auscultation head is arranged at auscultation position, the back side place on described body (21).
2. auscultation clothes according to claim 1, it is characterized in that, described front auscultation head comprises throat's auscultation head (31), bronchovesicular auscultation head and alveolar auscultation head, described bronchovesicular auscultation head comprises left side bronchovesicular auscultation head (32) and right side bronchovesicular auscultation head (33), and described alveolar auscultation head comprises left side alveolar auscultation head (34) and right side alveolar auscultation head (35).
3. auscultation clothes according to claim 1, it is characterized in that, described back side auscultation head comprises bronchus auscultation head (41), bronchovesicular auscultation head and alveolar auscultation head, described bronchovesicular auscultation head comprises left side bronchovesicular auscultation head (42) and right side bronchovesicular auscultation head (43), and described alveolar auscultation head comprises left side alveolar auscultation head (44) and right side alveolar auscultation head (45).
4. according to the auscultation clothes described in any one in claim 1-3, it is characterized in that, also comprise and be arranged at described body (21) outside, and cover the elastic bandage (23) of described auscultation position.
5. an auscultation apparatus, is characterized in that, comprises auscultation clothes and diagnosis mechanism, and described auscultation clothes are the auscultation clothes as described in any one in claim 1-4, and the auscultation head (22) of described auscultation clothes is connected with described auscultation mechanism by leading note line (26).
6. auscultation apparatus according to claim 5, is characterized in that, the described mechanism that diagnoses comprises the signal processing instrument that the respiratory murmur of described auscultation head (22) conduction can be treated to diagnosable signal.
7. auscultation apparatus according to claim 6, is characterized in that, described diagnosis mechanism also comprises memorizer (53), and described memorizer (53) is connected with described signal processing instrument.
8. according to the auscultation apparatus described in claim 6 or 7, it is characterized in that, described diagnosis mechanism also comprises display (56), and described display (56) is connected with described signal processing instrument.
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| CN201320554315.1U CN203710042U (en) | 2013-09-06 | 2013-09-06 | Auscultation clothes and auscultation device |
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| CN201320554315.1U CN203710042U (en) | 2013-09-06 | 2013-09-06 | Auscultation clothes and auscultation device |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105997134A (en) * | 2016-06-20 | 2016-10-12 | 刘国栋 | Multichannel lung sound signal collection system and method |
| CN107292286A (en) * | 2017-07-14 | 2017-10-24 | 中国科学院苏州生物医学工程技术研究所 | Breath sound discrimination method and system based on machine learning |
| CN108472027A (en) * | 2016-01-18 | 2018-08-31 | 柯惠有限合伙公司 | Endo-surgical fixture applicator |
| CN108514410A (en) * | 2018-05-10 | 2018-09-11 | 西安医学院 | A kind of real time medical detection underwear |
| CN108926358A (en) * | 2018-08-02 | 2018-12-04 | 成都艾视美科技有限公司 | Cardiac auscultation system for the many-one consultation of doctors |
-
2013
- 2013-09-06 CN CN201320554315.1U patent/CN203710042U/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108472027A (en) * | 2016-01-18 | 2018-08-31 | 柯惠有限合伙公司 | Endo-surgical fixture applicator |
| CN108472027B (en) * | 2016-01-18 | 2020-12-29 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
| CN105997134A (en) * | 2016-06-20 | 2016-10-12 | 刘国栋 | Multichannel lung sound signal collection system and method |
| CN107292286A (en) * | 2017-07-14 | 2017-10-24 | 中国科学院苏州生物医学工程技术研究所 | Breath sound discrimination method and system based on machine learning |
| CN107292286B (en) * | 2017-07-14 | 2021-10-22 | 中国科学院苏州生物医学工程技术研究所 | Breath sound identification method and system based on machine learning |
| CN108514410A (en) * | 2018-05-10 | 2018-09-11 | 西安医学院 | A kind of real time medical detection underwear |
| CN108926358A (en) * | 2018-08-02 | 2018-12-04 | 成都艾视美科技有限公司 | Cardiac auscultation system for the many-one consultation of doctors |
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