重建心阻抗容积图的初步探讨.pdfVIP

江西医学院学报2007年第47卷第6期 Acta Academiae Medicinae Jiangxi 2007，Vol 4王’No6 · 7 。 重建心阻抗容积图的初步探讨 崔超英，杨莲芳，肖 伟，罗 勤，肖 睛 (南昌大学理学院物理实验中心，南昌330047) 摘要：目的 探讨重建心阻抗容积图的波形、波幅。方法 用15个电极法同步检测胸部体表6个导联的阻抗变 化，通过波形重建，得到重建心阻抗容积图。对180例正常成人的波形图进行统计分析。结果 重建心阻抗容积 图有主动脉(A0)、左侧肺部血管(PL)、右侧肺部血管(PR)、左心室(LV)、右心室(RV)5个阻抗变化分量；心室分 量LV、RV的基本波形与血管分量AO、PL、PR的基本波形反相位，I V、RV的负峰点与第二心音基本对齐；在5个 分量中A0的波幅最大，PL、PR次之，LV、RV最小。结论 重建心阻抗容积图能够反映心血管活动的生理过程和 变化。 关键词：重建心阻抗容积图；波形；波幅 中图分类号：R443．8 文献标识码：A 文章编号：1000--2294(2007)06--0007--03 The Initial Investigation of Reconstructed Impedance Volume Cardiogram CUI Chao-ying，YANG Lian-fang，XIAO Wei，LUO Qin，XIAO Qing (Physical Examination Center of Management College， Nanchang University，Nanchang 330047，China) ABSTRACT：objective To investigate the wave shape and wave amplitude of reconstructed im— pedance volume cardiogram．Methods The impedance changes in six positions on chest surface at same time with fifteen electrodes were tested tO get reconstructed impedance volume cardiogram by means of the waveform reconstruction，statistically analyzing wave graphs of 180 normal a— dults．Results Reconstructed impedance volume cardiogram include five impedance change com— ponents of aorta(AO)，blood vessel in left lung(PL)，blood vessel in right lung(PR)，left heart ventricle(LV)and right heart ventricle(RV)．The basic wave shape of heart ventricle components (LV and RV)compare with basic wave shape of blood vessel components(A0，PL and PR)on the contrary．The lowest point of LV and RV wave kept up with second cardiophono on the whole．In five components the wave amplitude of A0 was the maximum，that of PL and PR was the second， and that of LV and RV was the minimum．Conclusion Reconst