振动反应成像技术在支气管哮喘和慢性阻塞性肺疾病诊断中的应用.docVIP

振动反应成像技术在支气管哮喘和慢性阻塞性肺疾病诊断中的应用 黄华萍，李 羲，王杰 （570102 海口，海南医学院附属医院呼吸内科，海南医学院呼吸病研究所） [摘要] 目的 探讨振动反应成像（VRI）技术在支气管哮喘和慢性阻塞性肺疾病（COPD）诊断中的应用价值。方法 回顾性分析2012年6月～ 2015年01月在海南医学院附属医院呼吸内科接受VRI检查的30例支气管哮喘患者（组1）、COPD患者（组2）和健康志愿者（组3）的VRI图像，比较三组的最大振动能量图(MEF)、动态图像、能量曲线、声波信号包络（EVP）曲线、图像总评分、曲线振动能量值和右侧肺部定量数值（QLD）。结果 MEF、动态图像、能量曲线、EVP 曲线及图像总评分，组1、组2与组3比较差异有统计学意义（p0.05）。曲线振动能量值和右侧QLD值，组1、组2与组3比较差异无统计学意义（P0.05）。动态图像、能量曲线、曲线振动能量值和图像总评分，组1与组2比较差异有统计学意义（p0.05）。EVP 曲线和右侧QLD值，组1与组2比较差异无统计学意义（P0.05）。结论 动态图像、能量曲线、曲线振动能量值和图像总评分，可协助诊断与鉴别诊断支气管哮喘和COPD患者，具有临床应用价值。 [关键词] 振动反应成像；图像分析；支气管哮喘；COPD；诊断 [中图法分类号] [文献标志码] [通信作者] 李 羲，电话：（0898E-mail：lixi13699@163.com Application of vibration response imaging (VRI) technique in the diagnosis of bronchial asthma and chronic obstructive pulmonary diseases（COPD） Huang huaping,Li xi,Wangjie.（Department of respiratory Disease, Affiliated Hospital of Hainan Medical College,Respiratory Disease Institute of Hainan Medical College,Haikou 570102,China） [Abstract] Objective To explore the value of VRI technique in the diagnosis of bronchial asthma and COPD. Methods A retrospective study was performed between June 2012 and January 2015 in Affiliated Hospital of Hainan Medical College. 10 patients with bronchial asthma, 10 patients with COPD and 10 healthy subjects were enrolled in this study.The differences of VRI including Maximum energy frame（MEF）, dynamic image , respiratory curve, envelope of acoustic signal（EVP）,total scores of dynamic imaging, the highest value of vibrational energy and the total quantitative lung data(QLD) value of right lung among bronchial asthma, COPD and healthy controls were analyzed．Ｒesults MEF, dynamic image , respiratory curve, EVP curve and total scores of dynamic imaging were significantly higher in bronchial asthma patients and COPD patients than that in controls.there were not statistically significant on the highest value of vibrational energy and the total QLD value of right lung in bronchial asthma patients and CO