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呼吸音数字化分析在体格检查及呼吸系统疾病诊断中的研究进展
引用本文:吴寅,廖玺铭,王琨,汪俊,李强. 呼吸音数字化分析在体格检查及呼吸系统疾病诊断中的研究进展[J]. 同济大学学报(医学版), 2024, 45(2): 273-280
作者姓名:吴寅  廖玺铭  王琨  汪俊  李强
作者单位:同济大学附属东方医院呼吸与危重症医学科,上海200120;上海合微智能科技有限公司,上海200120
基金项目:国家重点研发计划“重大慢性非传染性疾病防控研究”重点专项(2018YFC1313700)
摘    要:肺部听诊是体格检查的重要手段,自1816年Lannec发明听诊器以来,听诊广泛应用于临床尤其是呼吸系统疾病中,成为呼吸科医师诊断和评估疾病的重要检查手段。近年来,随着传感芯片以及人工智能技术的迅速发展,呼吸音数字化分析,即通过记录存储呼吸音并应用人工智能算法对呼吸音进行定量分析,为呼吸音指导临床诊疗提供了新的选择。本文就听诊目前面临的挑战、呼吸音数字化分析概述、呼吸音数字化分析在肺部体格检查中的意义以及其在呼吸系统疾病诊断中的辅助价值进行综述,旨在提高呼吸学界对呼吸音数字化分析技术的重视。

关 键 词:呼吸音;人工智能;慢性阻塞性肺疾病;哮喘;肺炎;呼吸音数字化分析
收稿时间:2023-04-15

Research progress of computerized respiratory sound analysis in physical examination and its auxiliary value in diagnosis of respiratory diseases
WU Yin,LIAO Ximing,WANG Kun,WANG Jun,LI Qiang. Research progress of computerized respiratory sound analysis in physical examination and its auxiliary value in diagnosis of respiratory diseases[J]. Journal of Tongji University(Medical Science), 2024, 45(2): 273-280
Authors:WU Yin  LIAO Ximing  WANG Kun  WANG Jun  LI Qiang
Affiliation:Department of Pulmonary and Critical Care Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China;Shanghai Hewei Intelligent Technology Co. Ltd., Shanghai 200120, China
Abstract:Auscultation has been an essential means for the diagnosis and evaluation of respiratory disorders since the stethoscope was invented by Lannec in 1816. Computerized respiratory sound analysis(CRSA) has been developed with the advances of sensing chips and artificial intelligence in recent years, which can record, store and quantitatively analyze respiratory sound to accurately diagnose lung diseases by artificial intelligence algorithm. In this review, we summarize the challenges of traditional auscultation in clinical practice, the research progress of CRSA and its application in physical examination and diagnosis of respiratory diseases.
Keywords:respiratory sound   artificial intelligence   chronic obstructive pulmonary disease   asthma   pneumonia   computerized respiratory sound analysis
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