- 期刊
利用發報感應器及聲音控制來增進胸部X光之吸氣率
Using Remote Control Digital Bell and Voice Control to get Fully Inspired Lung Field in a Chest Radiograph
摘要
胸部X光是國內民眾最常接受放射線檢查的項目之一，包含一般門診檢查、住院前的例行檢查，甚至是勞工體檢及自費健檢，胸部X光已然是應用最普遍的診斷方式。良好的胸部X光應能吸飽氣並至少要看到第九對肋骨才代表吸氣足夠，如此血管紋路才會趨於正常，同時橫膈膜往腹部擴張，使肺底的微小病灶不會被橫膈阻擋而遺漏；但吸氣不足時，心臟會因肺部擴張不足造成假性心臟肥大，另外橫膈上升、肺紋增加，也易誤判為鬱血性心臟衰竭。本研究目的即利用遠距離數位無線門鈴及聲音控制（Voice Control）二種方式來比較如何確實能讓受檢者在肺部充氣的狀態下受檢。使用發報器時，是由受檢者主動通知吸飽氣的時刻，因此是最能掌握受檢者是否在充分吸飽氣的狀態下受檢，唯需耗費較長時間與受檢者溝通並指導受檢者充分配合，適合在年紀較大的受檢者。聲音控制結果則適合使用在不清楚檢查流程、注意力不集中的受檢者，簡單卻極其有效率。無論使用何種方式，放射師均應在受檢者受檢前先與受檢者溝通，下達指令後需給受檢者充足的時間作反應，並密切觀察受檢者配合的情況，在正確的時間點下執行照射，便可得到充分吸飽氣良好的胸部X光片。
並列摘要
Chest X-ray may be the most common radiologic examination taken in the nation, which includes routine check-ups from outpatient clinic and before ward admission, even with labor or self-paid physical examination, chest X-ray is an excellent method as a diagnostic tool. A well quality chest X-ray film requires the patient to inhale enough air to clearly present the ninth pair of ribs, which means the clear and normal venation (clear vascular line), in the mean time the diaphragm expands towards upper abdominal space, which results clear image of pathogens, or else the pathogens may be blocked by the diaphragm. If the patient does not fully inhale while taking the X-ray, the heart image may result pseudo-cardiomegaly, in addition, as the diaphragm elevates, so does the lung marking increases, also a common mistake as congestive heart failure. The main purpose of this study is to compare using remote control digital bell and voice control for sufficient of patients' air inhale during the chest X-ray examination. When using the remote control bell, the patient notifies the radiologist when fully inhaling, thus, it is the most efficient way to monitor the air inhalation of the patient; but it often takes more time to educate the usage of the bell and communication also takes time; however, acceptance among elder patient may not be that high. Voice control is better suited with patient who is clearly consciousness and which is familiar with the steps of chest X-ray exams, it is less sophisticated but rather efficient. No matter what methods is taken, radiologist should clearly communicate with the patient, also give the patient enough response time when asking an order, hence, fully observe the cooperation of the patient. Only at the right timing of the radiation, will result the perfect result of a fully inhaled image of a chest X-ray.