本研究結合傳統類比聽診器與個人電腦完成一套數位式聽診系統,此系統除可供醫師執行傳統類比聽診,並可在電腦端執行數位化功能,因此兼具類比式聽診器與數位化的優點。由於數位聽診器在操作時易受到人為干擾影響,且此種干擾不易有效去除,因此我們整合小波去噪(Wavelet de-noising)、相關性(Autocorrelation)與機率統計等工具開發一套心音有效區間擷取演算法來擷取無人為干擾的有效區間,供醫師快速診斷之參考。同時,我們也發展ㄧ套心音異常的判斷及警示機制,供診斷心臟雜音(Murmur)之用。實驗結果顯示,本系統可大幅改善傳統聽診器的聽音效果,並能精確擷取心音訊號有效區間,而且可精準判斷某些心音異常症狀,因此具備實用潛力。
This study implements a digital stethoscope by integrating analogy stethoscope and computer, by which physicians can not only perform diagnosis via traditional analogy stethoscope, but also they can analyze the data stored in the computer due to the advantages of digitization. To escape from the impact of man-made noise in the digital stethoscope, an algorithm for extracting effective heart sound signal is developed by using wavelet de-noising, autocorrelation function, and probability statistics. Physicians can utilize the extracted heart sound signal to execute prompt diagnosis. Meanwhile, a scheme for detecting abnormal heart sound is proposed to classify heart murmur. Experimental results verify potential of the proposed system in practical diagnosis application.