Zhu Jian, Jiang Chuan-Yang, Huang Bin, Hu Ji-Min, Fang Si-Zhen, Huang Ke, Gao Yan-Hong, Yu Jiao
Department of Thoracic Cardiovascular Surgery, General Hospital of Central Theater Command of People's Liberation Army, Wuhan, 430070, People's Republic of China.
College of Mechanical Engineering, Liaoning Petrochemical University, Fushun, 113001, People's Republic of China.
Infect Drug Resist. 2022 Jul 7;15:3611-3618. doi: 10.2147/IDR.S369305. eCollection 2022.
The COVID-19 pandemic has continued for more than two years since its outbreak. Due to the clinical auscultation needs of doctors when wearing airtight protective clothing, a cylindrical tube stethoscope was proposed to address this problem. However, the idea has been questioned by some experts.
To address these questions, we performed three-part experiments using cylindrical tube stethoscopes. First, we performed laboratory tests to detect the sound intensity from a cylindrical tube stethoscope. Second, we improved the cylindrical tube stethoscope to achieve better results. Third, we revealed the difference in the auscultation effects of the cylindrical tube stethoscope and a conventional professional 3 M stethoscope.
From these experiments, we found that a narrow cylindrical tube with a diameter of 4.2 cm and a length of 20 cm equipped with a silicone gasket better auscultation of heart sounds. A cylindrical tube stethoscope and a 3 M stethoscope were used to perform stethoscope tests on 10 volunteers. The alveolar lung sounds were 44.478 decibels vs 49.529 decibels, the heart sounds were 46.631 decibels vs 41.109 decibels, and the intestinal sounds were 40.132 decibels vs 43.787 decibels, respectively.
This improved cylindrical tube stethoscope can meet the auscultation requirements for cardiorespiratory and abdominal diagnosis during infectious disease pandemics.
自新冠疫情爆发以来,已持续了两年多。由于医生在穿戴密封防护服时存在临床听诊需求,因此提出了一种圆柱形管听诊器来解决这一问题。然而,这一想法受到了一些专家的质疑。
为了解决这些问题,我们使用圆柱形管听诊器进行了三部分实验。首先,我们进行了实验室测试,以检测圆柱形管听诊器的声音强度。其次,我们对圆柱形管听诊器进行了改进以获得更好的效果。第三,我们揭示了圆柱形管听诊器与传统专业3M听诊器在听诊效果上的差异。
通过这些实验,我们发现直径4.2厘米、长度20厘米的窄圆柱形管,配备硅胶垫圈时对心音的听诊效果更好。使用圆柱形管听诊器和3M听诊器对10名志愿者进行听诊测试。肺泡呼吸音分别为44.478分贝和49.529分贝,心音分别为46.631分贝和41.109分贝,肠鸣音分别为40.132分贝和43.787分贝。
这种改进后的圆柱形管听诊器能够满足传染病大流行期间心肺和腹部诊断的听诊需求。