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正常呼吸音的频谱特征。

Spectral characteristics of normal breath sounds.

作者信息

Gavriely N, Palti Y, Alroy G

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1981 Feb;50(2):307-14. doi: 10.1152/jappl.1981.50.2.307.

Abstract

An objective and accurate measurement and characterization of breath sounds was carried out by a fast-Fourier-transform frequency-domain analysis. Normal vesicular breath sounds, picked up over the chest wall of 10 healthy subjects showed a characteristic pattern: the power of the signal decreased exponentially as frequency increased. Since the log amplitude vs. log frequency relationships were linear, they could be characterized by the values of the slope and the maximal frequency. The average slope of the power spectrum curves was found to be (in dB/oct +/- SD) 13.0 +/- 1.4 over the base of the right lung, 12.6 +/- 2.4 over the base of the left lung, 9.8 +/- 1.4 over the interscapular region, and 14.4 +/- 4.3 over the right anterior chest. The maximal frequencies of inspiratory and expiratory breath sounds, picked up over the base of the right lung, were (in Hz +/- SD) 446 +/- 143 and 286 +/- 53 (P less than 0.01), over the base of the left lung 475 +/- 115 and 284 +/- 47 (P less than 0.01), over the interscapular region 434 +/- 130 and 338 +/- 77 (P less than 0.05), and over the right anterior chest 604 +/- 302 and 406 +/- 205 (P less than 0.05). Breath sounds picked up over the trachea were characterized by power spectra typical to a broad spectrum sound with a sharp decrease of power at a cut-off frequency that varied between 850 and 1,600 Hz among the 10 healthy subjects studied.

摘要

通过快速傅里叶变换频域分析对呼吸音进行了客观准确的测量和特征描述。在10名健康受试者胸壁采集的正常肺泡呼吸音呈现出一种特征模式:信号功率随频率增加呈指数下降。由于对数幅度与对数频率的关系呈线性,它们可以用斜率值和最大频率来表征。发现功率谱曲线的平均斜率在右肺底部为(以dB/倍频程±标准差计)13.0±1.4,左肺底部为12.6±2.4,肩胛间区为9.8±1.4,右前胸为14.4±4.3。在右肺底部采集的吸气和呼气呼吸音的最大频率为(以Hz±标准差计)446±143和286±53(P<0.01),左肺底部为475±115和284±47(P<0.01),肩胛间区为434±130和338±77(P<0.05),右前胸为604±302和406±205(P<0.05)。在气管采集的呼吸音的特征是功率谱为典型的广谱声音,在研究的10名健康受试者中,截止频率在850至1600Hz之间时功率急剧下降。

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