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临床实践和研究中使用的胃电图测量系统及分析方法:综述

Electrogastrography measurement systems and analysis methods used in clinical practice and research: comprehensive review.

作者信息

Oczka David, Augustynek Martin, Penhaker Marek, Kubicek Jan

机构信息

Department of Cybernetics and Biomedical Engineering, VSB-Technical University of Ostrava, Ostrava, Czechia.

出版信息

Front Med (Lausanne). 2024 Jul 1;11:1369753. doi: 10.3389/fmed.2024.1369753. eCollection 2024.

Abstract

UNLABELLED

Electrogastrography (EGG) is a non-invasive method with high diagnostic potential for the prevention of gastroenterological pathologies in clinical practice. In this study, a review of the measurement systems, procedures, and methods of analysis used in electrogastrography is presented. A critical review of historical and current literature is conducted, focusing on electrode placement, measurement apparatus, measurement procedures, and time-frequency domain methods of filtration and analysis of the non-invasively measured electrical activity of the stomach. As a result, 129 relevant articles with primary aim on experimental diet were reviewed in this study. Scopus, PubMed, and Web of Science databases were used to search for articles in English language, according to the specific query and using the PRISMA method. The research topic of electrogastrography has been continuously growing in popularity since the first measurement by professor Alvarez 100 years ago, and there are many researchers and companies interested in EGG nowadays. Measurement apparatus and procedures are still being developed in both commercial and research settings. There are plenty variable electrode layouts, ranging from minimal numbers of electrodes for ambulatory measurements to very high numbers of electrodes for spatial measurements. Most authors used in their research anatomically approximated layout with two++ active electrodes in bipolar connection and commercial electrogastrograph with sampling rate of 2 or 4 Hz. Test subjects were usually healthy adults and diet was controlled. However, evaluation methods are being developed at a slower pace, and usually the signals are classified only based on dominant frequency. The main review contributions include the overview of spectrum of measurement systems and procedures for electrogastrography developed by many authors, but a firm medical standard has not yet been defined. Therefore, it is not possible to use this method in clinical practice for objective diagnosis.

SYSTEMATIC REVIEW REGISTRATION

https://www.prisma-statement.org/.

摘要

未标注

胃电图(EGG)是一种非侵入性方法,在临床实践中对预防胃肠疾病具有很高的诊断潜力。本研究对胃电图中使用的测量系统、程序和分析方法进行了综述。对历史和当前文献进行了批判性综述,重点关注电极放置、测量仪器、测量程序以及对非侵入性测量的胃电活动进行滤波和分析的时频域方法。结果,本研究综述了129篇主要针对实验性饮食的相关文章。根据特定查询并使用PRISMA方法,使用Scopus、PubMed和科学网数据库搜索英文文章。自100年前阿尔瓦雷斯教授首次测量以来,胃电图的研究主题一直越来越受欢迎,如今有许多研究人员和公司对EGG感兴趣。测量仪器和程序仍在商业和研究环境中不断发展。有大量可变的电极布局,从用于动态测量的最少电极数量到用于空间测量的非常多的电极数量。大多数作者在其研究中使用解剖学近似布局,采用双极连接的两个以上有源电极和采样率为2或4Hz的商业胃电图仪。测试对象通常为健康成年人,饮食受到控制。然而,评估方法的发展速度较慢,通常仅根据主导频率对信号进行分类。主要综述贡献包括许多作者开发的胃电图测量系统和程序谱的概述,但尚未确定严格的医学标准。因此,在临床实践中无法使用这种方法进行客观诊断。

系统评价注册

https://www.prisma-statement.org/

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f14/11248517/0d17c30f61be/fmed-11-1369753-g0001.jpg

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