胃容积及胃食道液体状态变化的电学特性研究
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1.1)西安石油大学体育学院,西安 710065;2.2)沈阳师范大学体育科学学院,沈阳 110034;3.3)西安理工大学机械与精密仪器工程学院,西安 710048;4.4)Department of Mechanical Engineering, Chiba University, Chiba 263-0022, Japan;5.5)南京航空航天大学机电学院,南京 210016

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Q4-33;Q445

基金项目:

陕西省社科基金(2020Q017)资助项目。


Electrical Characteristics of Changes in Gastric Volume and Gastroesophaged Liquid Condition
Author:
Affiliation:

1.1)Department of Physical Education, Xi’an Shiyou University, Xi’an 710065, China;2.2)College of Sports Science, Shenyang Normal University, Shenyang 110034, China;3.3)School of Mechanical and Precision Instrument Engineering, Xi’an University of Technology, Xi’an 710048, China;4.4)Department of Mechanical Engineering, Chiba University, Chiba 263-0022, Japan;5.5)College of Mechanical & Electrical Engineering, Nanjing University of Aeronautics & Astronautics, Nanjing 210016, China

Fund Project:

This work was supported by a grant from The Shaanxi Provincial Social Science Foundation Project (2020Q017).

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    摘要:

    目的 三维电阻抗成像(3D-EIT)结合二维电阻抗成像(2D-EIT)研究胃容积及胃食道液体状态变化的电学特性响应,旨在探究EIT技术应用于胃食道反流病监测的可能性。方法 8名受试者被要求在实验前4 h禁食,保证实验开始时胃部处于排空状态,实验开始后受试者被要求分两次喝下400 ml经口补水液,在摄入200 ml状态下和摄入400 ml状态下分别应用3D-EIT检测腹腔3D空间的电导率分布。为了定量说明不同状态下电学特性的变化,使用配对样本t检验分析3D-EIT重建3D图像的空间平均电导率()。采用数值仿真工具,建立两种尺寸胃容积模型验证,实验结果中胃容积变化是引起受试者腹腔3D空间内电导率变化的原因,并研究胃腔被不同比例补水液填充状态下电学特性的变化趋势,应用2D-EIT数值仿真进行电导率分布图像重建。结果 8名受试者腹腔3D-EIT实验中空间平均电导率的配对样本t检验结果表明,空间平均电导率从C200 ml状态下的200 ml=0.226增加到C400 ml状态下的400 ml=0.387(n=8,P<0.05)。因此,受试者腹腔胃部区域空间平均电导率随胃容积增加而显著增加。2D-EIT数值仿真结果表明,随着胃腔填充补水液比例的增加测量电压差(ΔV)逐渐减少,ΔV对胃腔填充补水液体积敏感。与小型胃容积模型相比,大型胃容积模型在胃腔填充补水液比例相同情况下平均电压差()更小,对胃容积模型的尺寸敏感。在小型胃容积例中,随着胃腔填充补水液比例增加而增加,从填充25%的 A=-0.29增加到填充100%的D=-0.41;在大胃容积例中,随着胃腔填充补水液比例增加而增加,从填充25%的E=-1.85增加到填充100%的H=-2.12。结论 3D-EIT电阻抗成像技术能够通过图像直观的反映不同尺寸胃容积的电学特性差异,2D-EIT根据在不同胃容积尺寸模型中ΔV显示出相同的趋势得出结论,3D-EIT结合2D-EIT技术令人满意的监测了胃食道在不同胃容积中的液体状态变化。

    Abstract:

    Objective In this study, we propose three-dimensional electrical impedance tomography (3D-EIT) combined with two-dimensional electrical impedance tomography (2D-EIT) to study the electrical characteristics of gastric volume changes and the response to changes in the gastroesophageal liquid condition with the objective of investigating the possibility of applying EIT technique to monitor gastroesophageal reflux disease (GERD).Methods Eight subjects were asked to fast 4 h before the experiment to ensure that the gastric was in an emptying condition at the start of the experiment. The subject was asked to drink 400 ml of rehydration water in two parts, 3D-EIT was applied to detect the conductivity distribution in the 3D space of the abdominal cavity at the condition of 200 ml intake and at the condition of 400 ml intake, respectively. In order to quantify the variation of electrical characteristics in different conditions, the spatial-mean conductivity () of 3D-EIT was analysed by using a paired-samples t-test. In addition, numerical simulation tools were used to establish two sizes of gastric volume models to verify that the cause of conductivity changes in the 3D space of the subject’s abdominal cavity in the experimental results is due to the changes in gastric volume. The trends of electrical characteristics when gastric cavity was filled with different ratios of rehydration water were investigated, and 2D-EIT numerical simulation was applied to reconstruct the conductivity distribution image σ.Results The results of the paired-sample t-test for spatial-mean conductivity ) in the abdominal 3D-EIT experiment in eight subjects show that the spatial-mean conductivity increased from 200 ml=0.226 in the C200 ml case to 400 ml=0.387 in the C400 ml case (n=8, P<0.05). Thus, the of subject’s abdominal gastric region increased significantly with increasing gastric volume. The 2D-EIT numerical simulation results show that the measured voltage difference (ΔV) is decreased gradually with increasing the rehydration water ratio of the gastric lumen filling. ΔV is sensitive to the ratio of gastric lumen filling rehydration water. The average voltage difference is smaller in the big gastric lumen model with the same ratio of gastric lumen filling rehydration water compared to the small gastric lumen model. is sensitive to the size of gastric lumen model. In the small gastric lumen model, the spatial-mean conductivity is increased with the ratio of gastric lumen filled with rehydration water, from A=-0.29 for 25% filling to D=-0.41 for filling 100%; in the big gastric lumen model, the is also increased with the ratio of gastric lumen filled with rehydration water, from E=-1.85 for 25% filling to H=-2.12 for filling 100%.Conclusion The 3D-EIT satisfactorily monitors the differences in electrical characteristics of different gastric volumes by 3D-EIT images. 2D-EIT shows the same trend according to ΔV, , and in different gastric volume models. Therefore, we conclude that 3D-EIT combined with 2D-EIT technique satisfactorily monitors liquid condition changes in the different gastric volumes.

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张全成,王岸新,孙博,姚佳烽.胃容积及胃食道液体状态变化的电学特性研究[J].生物化学与生物物理进展,2023,50(7):1716-1727

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  • 收稿日期:2022-09-25
  • 最后修改日期:2023-05-26
  • 接受日期:2022-11-23
  • 在线发布日期: 2023-07-19
  • 出版日期: 2023-07-20