WO2023230957A1 - Ventilation analysis method, medical device, central station, and medical system - Google Patents

Ventilation analysis method, medical device, central station, and medical system Download PDF

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Publication number
WO2023230957A1
WO2023230957A1 PCT/CN2022/096626 CN2022096626W WO2023230957A1 WO 2023230957 A1 WO2023230957 A1 WO 2023230957A1 CN 2022096626 W CN2022096626 W CN 2022096626W WO 2023230957 A1 WO2023230957 A1 WO 2023230957A1
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Prior art keywords
ventilation
mode
analysis
current
analysis results
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PCT/CN2022/096626
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French (fr)
Chinese (zh)
Inventor
刘玲
刘京雷
邱海波
李响
杨毅
黄志文
谢剑锋
周小勇
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深圳迈瑞生物医疗电子股份有限公司
东南大学附属中大医院
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Priority to PCT/CN2022/096626 priority Critical patent/WO2023230957A1/en
Publication of WO2023230957A1 publication Critical patent/WO2023230957A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs

Definitions

  • the present application relates to the field of medical equipment, and more specifically to a ventilation analysis method, medical equipment, central station and medical system.
  • Respiratory failure is the most common organ dysfunction in critically ill patients and seriously threatens patients' lives. Especially in public health emergencies, respiratory failure becomes the main cause of death for patients. Respiratory support therapy is the most important treatment for patients with respiratory failure.
  • a large proportion of patients in the ICU (Intensive Care Unit) require non-invasive or invasive mechanical ventilation treatment. Depending on the severity of the patient's respiratory failure and the response to treatment, clinically severe patients require different ventilation methods. How to accurately select ventilation methods for patients with respiratory failure is a major clinical challenge.
  • the first aspect of the embodiments of the present application provides a ventilation analysis method, including:
  • the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation subject;
  • the ventilation analysis results at least include the evaluation results obtained by evaluating the current ventilation mode and the influencing factors of the evaluation results;
  • the second aspect of the embodiments of the present application provides a ventilation analysis method, which method is used in a central station and includes:
  • Ventilation-related information of the ventilation object from the ventilation equipment and/or third-party equipment communicatively connected to the central station, where the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation object;
  • a third aspect of the embodiment of the present application provides a medical device.
  • the medical device includes a memory, a processor, and a display.
  • the memory stores a computer program run by the processor.
  • the computer program is processed by the processor.
  • the steps of the ventilation analysis method as described above are performed to obtain ventilation analysis results, and the display is used to display the ventilation analysis results.
  • the fourth aspect of the embodiment of the present application provides a central station.
  • the central station includes a memory, a processor and a communication unit.
  • the memory stores a computer program run by the processor.
  • the computer program is run by the processor.
  • the steps of the ventilation analysis method as described above are executed to obtain the ventilation analysis results, and the communication unit is used to send the ventilation analysis results obtained by the processor to the ventilation equipment that is communicatively connected to the central station.
  • a fifth aspect of the embodiment of the present application provides a medical system.
  • the medical system includes a ventilation device and a central station as described above.
  • the ventilation device is communicatively connected to the central station to receive and display information sent by the central station. The ventilation analysis results.
  • the ventilation analysis model is combined with a variety of ventilation-related information to analyze and evaluate the currently adopted ventilation methods, and can give objective and accurate suggestions to assist doctors when necessary. Switch the ventilation mode promptly when necessary.
  • Figure 1 shows a schematic flow chart of a ventilation analysis method according to an embodiment of the present application
  • Figure 2 shows a schematic flow chart of a ventilation analysis method according to another embodiment of the present application
  • Figure 3 shows a schematic diagram of risk factors of assessment results according to an embodiment of the present application
  • Figure 4 shows a schematic block diagram of a medical device according to an embodiment of the present application
  • Figure 5 shows a schematic block diagram of a central station according to an embodiment of the present application
  • Figure 6 shows a schematic block diagram of a medical system according to another embodiment of the present application.
  • FIG. 1 is a schematic flow chart of a ventilation analysis method 100 according to an embodiment of the present application.
  • a ventilation analysis method 100 according to one embodiment of the present application includes the following steps:
  • step S110 obtain ventilation-related information of the ventilation object, which at least includes the ventilation medical information, physiological data, and ventilation parameters; in some examples, the ventilation-related information may also include basic information of the ventilation object;
  • step S120 the ventilation-related information is input into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode.
  • the ventilation analysis results at least include the evaluation results obtained by evaluating the current ventilation mode and the evaluation results. influencing factors;
  • step S130 the ventilation analysis result is output.
  • the ventilation analysis method 100 in the embodiment of the present application can be implemented in ventilation equipment, such as ventilators, anesthesia machines, etc.; ventilation equipment is used to provide mechanical ventilation (such as invasive ventilation, non-invasive ventilation, oxygen therapy, etc.) for ventilation objects.
  • the ventilation analysis results obtained based on the ventilation analysis method 100 can be output by the ventilation device, for example, can be displayed on a display of the ventilation device to serve as an objective reference for selecting a ventilation mode.
  • the ventilation analysis method 100 of the embodiment of the present application can also be implemented in a central station, monitor, cloud service system or other electronic equipment.
  • the ventilation equipment uses different ventilation methods to provide mechanical ventilation to the ventilated subjects.
  • the ventilation methods that can be used for ventilation equipment are high-flow oxygen therapy, non-invasive ventilation or invasive ventilation.
  • high-flow oxygen therapy is generally an oxygen therapy method that directly delivers a certain oxygen concentration of air oxygen mixed with high-flow gas to the ventilated object through a nasal tube or tracheal tube. It has the characteristics of high flow, precise oxygen concentration, and heating and humidification. , capable of correcting hypoxemia in ventilated subjects.
  • Non-invasive ventilation methods refer to mechanical ventilation methods that do not require the establishment of artificial airways, including positive pressure ventilation in the airway and negative pressure ventilation outside the chest.
  • Non-invasive ventilation generally refers to non-invasive positive ventilation methods that are connected to the ventilation object through masks, nasal masks, etc. pressure mechanical ventilation.
  • Invasive ventilation refers to a mechanical ventilation method that requires the establishment of an invasive artificial airway through endotracheal intubation or tracheotomy.
  • high-flow oxygen therapy improves hypoxia by increasing the flow of inhaled gas.
  • Application of high-flow nasal oxygen therapy after extubation can improve oxygenation and reduce CO2 retention.
  • non-invasive mechanical ventilation or invasive mechanical ventilation can be switched.
  • non-invasive ventilation reduces mortality, reduces patients' dyspnea scores and improves respiratory rate in patients with acute hypoxic respiratory failure. Given this, providing recommendations for switching from high-flow oxygen therapy to noninvasive or invasive ventilation has clinical value.
  • high-flow oxygen therapy has clear advantages in terms of patient comfort and tolerability compared with non-invasive ventilation or invasive ventilation.
  • the embodiment of this application uses a ventilation analysis model to analyze and evaluate the currently used ventilation methods, which can provide objective and accurate suggestions in real time, allowing doctors to switch ventilation methods in a timely manner when necessary.
  • the ventilation analysis model combines multiple ventilation-related information to output ventilation analysis results, and the ventilation-related information is obtained in the process of providing mechanical ventilation to the ventilated object.
  • ventilation-related information includes at least basic information, medical information, physiological data and ventilation parameters of the ventilation subject.
  • the basic information of the ventilation subject includes the age, gender, height, weight, etc. of the ventilation subject, which can affect the judgment of whether other parameters are normal or abnormal. For example, the younger the age, the faster the heart rate, and the heart rate of women is faster than that of men of the same age.
  • Basic information about the ventilation object can be input by the user or automatically obtained by the device. For example, the data of the ventilation object can be obtained, keywords in the data can be extracted, and the basic information of the ventilation object can be obtained based on the extracted keywords.
  • the ventilation object's information includes one or more of the ventilation object's patient information database, electronic medical records, examination application forms, etc. Alternatively, basic information about the ventilated object can be obtained through any other feasible method.
  • the medical information of the ventilated subject is also an important factor that affects the decision-making of ventilation mode, including but not limited to: the diagnosis result of the ventilated subject, past medical history, Acute Physiology and Chronic Health Evaluation (APACHE), sequential organ Failure (Sequential Organ Failure Assessment, SOFA) score, state of consciousness, vasoactive drug dosage, and sedation score.
  • the medical information of the ventilated subject can be extracted from the Clinical Information System (CIS).
  • the diagnosis result of the ventilation object refers to the diagnosis result of the current diagnosis of the ventilation object, which directly affects the decision-making of the ventilation mode.
  • Past medical history refers to historical diagnosis results, such as history of diabetes, cardiovascular and cerebrovascular diseases, various high-risk diseases, etc., which can be used as supplementary reference factors for ventilation methods.
  • the APACHEII score can indicate the severity of the condition. It is an evaluation result obtained by quantitatively evaluating the patient's condition based on objective physiological parameters. The higher the APACHEII score, the more serious the condition and the greater the need for invasive ventilation. high.
  • the APACHEII score specifically includes acute physiology score, age score and chronic health score, and the final score is the sum of the three scores.
  • the SOFA score can reflect the degree of dysfunction or failure of the respiratory system, blood system, liver system, cardiovascular system, nervous system and renal system. The higher the score, the worse the prognosis.
  • Vasoactive drugs include vasopressors, vasodilators, and inotropes.
  • Vasoactive drugs can be used as auxiliary treatment during mechanical ventilation. For example, long-term mechanical ventilation can reflexively cause renal vasoconstriction, and vasodilator drugs can improve this problem. Therefore, evaluation of physiological data needs to consider the effects of vasoactive drugs.
  • the ventilated subject's medical information may include other medication information.
  • the sedation score reflects the sedation status of the ventilated subject. Since ventilated subjects may become agitated during mechanical ventilation, leading to accidents such as human-machine confrontation and extubation, monitoring sedation scores can reduce accidents and promote synchronization of spontaneous breathing with the ventilator.
  • sedation scores include subjective scores such as Ramsay and SAD scores, and objective scores based on BIS, etc.
  • the medical information of the ventilated subject can reflect the long-term physiological state of the ventilated subject, while the physiological data of the ventilated subject reflects the current physiological state of the ventilated subject, which is more immediate.
  • the physiological data includes at least one of the following: physiological data collected by a ventilation device that provides ventilation for the ventilated subject reflecting the spontaneous breathing effort of the ventilated subject, physiological data reflecting the respiratory system status of the ventilated subject, and monitoring equipment associated with the ventilated subject. Collected vital sign parameters and inspection information of ventilation objects.
  • the physiological data reflecting the spontaneous breathing effort of the ventilated subject include but are not limited to the intensity and work of the ventilated subject's spontaneous breathing effort
  • the physiological data reflecting the respiratory system status of the ventilated subject include but are not limited to lung compliance and airway resistance.
  • lung compliance refers to the change in lung volume caused by a change in unit pressure, which represents the impact of changes in thoracic pressure on lung volume.
  • Lung compliance can specifically include static lung compliance (Cst) and dynamic lung compliance ( Cdyn);
  • airway resistance refers to the pressure difference generated by unit flow in the airway, which can better reflect the obstruction of the airway; spontaneous breathing effort intensity and work are used to evaluate whether the ventilated subject can tolerate spontaneous breathing.
  • lung compliance and airway resistance are measured and used only during invasive ventilation.
  • Vital sign parameters directly reflect the physiological state of the ventilated subject, including at least one of the following: heart rate, respiratory rate, blood pressure, transcutaneous finger pulse oxygen saturation, and end-tidal carbon dioxide partial pressure.
  • heart rate and blood pressure are the patient's basic vital sign parameters; respiratory rate is the number of breaths per minute; transcutaneous finger pulse oximeter is the blood oxygen saturation measured using the non-invasive pulse oximetry method; end-tidal carbon dioxide Pressure refers to the partial pressure of carbon dioxide contained in the mixed alveolar air exhaled at the end of expiration.
  • the test information of the ventilated subject includes at least one of blood routine results and blood gas results.
  • blood routine results include red blood cell count, hemoglobin concentration, white blood cell concentration, white blood cell differential count, platelet concentration, etc.
  • Blood routine results are sensitive to many pathological changes in the body.
  • Blood gas analysis refers to understanding the human respiratory function and acid-base balance status by measuring the pH of human blood and the gases dissolved in the blood (mainly including carbon dioxide and oxygen). The blood gas analysis results can directly reflect the lung ventilation function and its acid-base balance. Status, specifically including but not limited to arterial oxygen partial pressure, CO2 partial pressure, etc.
  • Ventilation parameters can reflect the status of the ventilation equipment that provides mechanical ventilation to the ventilated subject, and further reflect whether the respiratory support that the ventilation equipment can provide in the current state matches the needs of the ventilated subject.
  • the ventilation parameters may include control parameters of the ventilation device, and monitoring parameters for feedback adjustment of the control parameters.
  • ventilation parameters include, but are not limited to, tidal volume, respiratory rate, positive end-expiratory pressure, inspired oxygen concentration, and the like.
  • Tidal volume is the amount of air inhaled or exhaled in each breath; respiratory rate represents the amount of air inhaled per unit time; positive end-expiratory pressure (PEEP) is a certain positive pressure maintained in the respiratory tract at the end of expiration, and its function is to avoid Early alveolar closure expands some alveoli that have lost their ventilation function due to exudation, atelectasis, etc., increasing the reduced functional residual volume to achieve the purpose of increasing blood oxygen; the inhaled oxygen concentration is the proportion of oxygen in the gas provided by the ventilation equipment volume percentage.
  • PEEP positive end-expiratory pressure
  • the ventilation-related information is input into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode. Since the ventilation analysis model needs to comprehensively analyze ventilation-related information over a period of time, the analysis results can be updated at regular intervals.
  • the ventilation analysis results corresponding to the current ventilation mode at least include evaluation results obtained by evaluating the current ventilation mode, and the evaluation results are used to characterize whether the current ventilation mode is feasible for the ventilation subject. Furthermore, the ventilation analysis results corresponding to the current ventilation mode also include factors that affect the evaluation results.
  • the ventilation analysis model can be obtained by training on the basis of a network model with analysis and judgment capabilities.
  • the data type of the data used to train the network model is consistent with the data type of ventilation-related information.
  • ventilation analysis models for assisting decision-making can be generated based on expert knowledge base and artificial intelligence technologies such as decision trees, regression analysis of past data, CatBoost, XGBoost, and random forests.
  • training data can be collected to build a training database.
  • the training data can come from the medical record database.
  • Each set of training data includes ventilation mode, ventilation-related information and corresponding treatment results.
  • Treatment outcomes include failed outcomes, in which the patient's condition worsens or dies, or successful outcomes, in which the patient recovers or improves in condition.
  • a training database can be constructed for each ventilation mode to train the ventilation analysis model for each ventilation mode.
  • the ventilation analysis model can Output the ventilation analysis results corresponding to the ventilation mode.
  • a unified model can be trained so that after the current ventilation mode and ventilation-related information are input into the ventilation analysis model, the ventilation analysis model can output ventilation analysis results corresponding to the current ventilation mode.
  • the evaluation results of the current ventilation method output by the ventilation analysis model can be in various forms, as long as they can reflect whether the current ventilation method is appropriate.
  • the evaluation results output by the ventilation analysis model include the failure probability or success probability of the current ventilation mode. It can be understood that the sum of the failure probability and the success probability is 100%, and you can choose to display the failure probability or the success probability. Users can judge by themselves whether the failure probability or success probability meets expectations, or they can display the threshold of failure probability or success probability on the display interface to assist users in comparison.
  • failure probabilities above or below a preset threshold can also be displayed as different colors, or success probabilities above or below a preset threshold can be displayed as different colors, etc., so as to be more intuitive. Prompts the user on the feasibility of the current ventilation method.
  • the evaluation result of the current ventilation mode includes a failure probability or a success probability of weaning from the current ventilation mode.
  • the failure probability or success probability of weaning from the current ventilation mode represents the failure probability or success probability of weaning from the ventilation device at the current moment.
  • the failure probability or success probability of the current ventilation mode described above indicates that if Continuing to provide mechanical ventilation to the ventilated subject using the current ventilation method, the probability that the final treatment will fail (for example, the ventilated subject's condition worsens or dies) or the treatment will be successful (for example, the ventilated subject will recover). Outputting the failure probability or success probability of weaning from the current ventilation method can assist the user in judging whether weaning can currently be performed.
  • the evaluation results of the current ventilation method may include the failure probability or success probability of extubation from the current ventilation method.
  • extubation includes weaning from invasive ventilation, or switching from invasive ventilation to non-invasive ventilation or high-flow oxygen therapy that does not require an artificial airway.
  • the failure probability or success probability of extubation from the current ventilation mode is the failure probability or success probability at the current moment. Outputting the failure probability or success probability of extubation from the current ventilation method can assist the user in judging whether extubation is currently possible and switching invasive ventilation to other ventilation methods that do not require artificial airway.
  • the output ventilation analysis results also include factors that affect the evaluation results.
  • the influencing factors on the assessment results include at least one of risk factors and beneficial factors of the assessment results. Outputting the assessment results together with risk factors or beneficial factors will help medical staff understand the reasons for the assessment results, troubleshoot hidden dangers, and increase the credibility of the assessment results.
  • risk factors include factors that lead to the failure of the current ventilation method
  • beneficial factors include factors that promote the success of the current ventilation method.
  • Risk factors and benefit factors can be derived from ventilation-related information about the ventilated subject.
  • risk factors include physiological states or pathological states that lead to the failure of the current ventilation method
  • beneficial factors include physiological states or pathological states that lead to the success of the current ventilation method.
  • the ventilation analysis results may also include the contribution of risk factors or beneficial factors to the assessment results.
  • Figure 3 shows the following risk factors of the current ventilation method: plateau pressure, tidal volume, heart rate, blood pressure, APACHE and PaO2; and the contribution of each risk factor to the evaluation results.
  • the two most important factors that may cause the failure of the current ventilation method are plateau pressure and tidal volume.
  • plateau pressure and tidal volume the two most important factors that may cause the failure of the current ventilation method.
  • the input of plateau pressure and tidal volume largely leads to an increase in the failure probability of the current ventilation method output by the model.
  • Healthcare professionals can focus on the causes of poor plateau pressure and tidal volume measurements to improve the probability of success with the current ventilation method.
  • the ventilation analysis result may also include a recommended ventilation mode.
  • the failure probability or success probability corresponding to each ventilation mode can be obtained through a ventilation analysis model, and the ventilation mode with the lowest failure probability or the highest success probability is selected as the recommended ventilation mode.
  • Recommended ventilation methods may include at least one. Outputting the recommended ventilation method can assist the user in deciding which ventilation method to switch the current ventilation method to.
  • the ventilation analysis results may also include the degree of recommendation of the recommended ventilation method.
  • the recommendation level may be the recommendation level for all ventilation methods, the recommendation level for the optimal ventilation method, or the recommendation level for ventilation methods with a recommendation level higher than a threshold. Users can decide which ventilation method to use based on the recommendation level and subjective evaluation. For example, if the recommended degree of two ventilation methods is similar, the user can also choose to switch to a ventilation method with a lower degree of recommendation based on other external factors, and is not limited to only using the ventilation method with the highest degree of recommendation.
  • the recommendation level for non-invasive ventilation and invasive ventilation can be output to assist the user in deciding to switch from high-flow oxygen therapy to non-invasive. Ventilation mode or switch to invasive ventilation mode.
  • the degree of recommendation of each ventilation mode may be determined based on the success probability of each ventilation mode. If the current ventilation method is an invasive ventilation method and can meet the needs of the ventilation subject, and the ventilation analysis model analysis shows that the success probability of the non-invasive ventilation method or high-flow oxygen therapy method is higher than the threshold, then the results of the non-invasive ventilation method and high-flow oxygen therapy method can be output.
  • the recommendation level of flow oxygen therapy mode helps users decide whether to switch from invasive ventilation mode to non-invasive ventilation mode or to switch to high flow oxygen therapy ventilation mode.
  • the ventilation analysis results also include the probability of failure or success of ventilation using the recommended ventilation method, that is, assuming that the ventilated subject adopts the recommended ventilation method for ventilation, the probability of final treatment failure or success Probability.
  • Outputting the failure probability or success probability of ventilation using the recommended ventilation method helps assist doctors to determine whether only switching the ventilation method is needed to ensure successful treatment. If the failure probability is still too high after switching to the recommended ventilation method, it is necessary The doctor takes other treatment methods promptly.
  • the ventilation analysis results also include influencing factors of switching from the current ventilation mode to the recommended ventilation mode. For example, what factors prompt the ventilation analysis model to output ventilation analysis results that recommend switching from non-invasive ventilation mode to invasive ventilation mode, and what factors prompt the ventilation analysis model to output ventilation analysis results that recommend switching from non-invasive ventilation mode to invasive ventilation mode, etc. .
  • the influencing factors of switching from the current ventilation mode to the recommended ventilation mode also include risk factors that lead to failure in ventilation mode switching, and beneficial factors that lead to successful ventilation mode switching.
  • switching failure mainly refers to the failure of the process of switching from an advanced ventilation mode to a low-level ventilation mode.
  • the non-invasive ventilation mode cannot maintain the breathing of the ventilated subject. Therefore, the risk factors that lead to the failure of ventilation mode switching may include risk factors that lead to the failure of the ventilation mode after switching, and the beneficial factors that lead to the success of ventilation mode switching may include the risk factors that lead to the success of the ventilation mode after switching.
  • the ventilation analysis results may also include recommended ventilation modes.
  • the classification basis of ventilation modes mainly includes conditions for triggering ventilation, conditions for limiting inspiratory flow rate, conditions for switching ventilation, etc. That is, the ventilation mode is the respiratory support strategy under each ventilation mode.
  • ventilation modes include machine-controlled mode, autonomous mode and composite mode.
  • the machine-controlled mode means that the ventilation equipment completely replaces the spontaneous breathing of the ventilated subject, specifically including volume-controlled mode, pressure-controlled mode, etc.
  • the breathing switching is determined by the spontaneous breathing of the ventilated subject, and the inspiratory trigger and inspiratory time depend on the ventilated subject itself.
  • Autonomous mode mainly includes pressure support mode (CPAP).
  • CPAP pressure support mode
  • the composite mode combines the machine-controlled mode and the autonomous mode. It means that when the ventilated subject appears to breathe spontaneously, it will assist the ventilated subject to complete spontaneous breathing; if the ventilated subject does not breathe spontaneously, machine-controlled ventilation will be given. This mode can reduce the risk of spontaneous breathing of the ventilated subject. Ventilator versus.
  • Ventilation objects in different states are suitable for different ventilation modes. For example, if the ventilated subject recovers spontaneous breathing, it is recommended to switch from machine-controlled mode to spontaneous ventilation mode; if the ventilated subject has unstable breathing, it is recommended to use SIMV mode; for patients with severe ARDS, it is recommended to use volume-controlled ventilation mode.
  • the factors considered by the ventilation analysis model are not limited to these, but can combine a variety of ventilation-related information to output ventilation mode recommendations. Compared with subjective judgment, the factors considered are more comprehensive.
  • the ventilation mode of the ventilation device that provides ventilation for the ventilated object can also be automatically set to the recommended ventilation mode to achieve automatic switching of ventilation modes.
  • the ventilation analysis method 100 when the ventilation analysis method 100 is implemented in a ventilation device, after the ventilation device itself obtains the analysis results regarding the ventilation mode, its processor controls the automatic switching of the ventilation mode.
  • the ventilation analysis method 100 is implemented in other medical equipment such as a central station, the analysis results of the ventilation mode can be sent to the ventilation equipment through the network connection between the medical equipment. After the ventilation equipment receives the analysis results of the ventilation mode, it will be processed by it. Automatic switching of ventilation modes is achieved through device control.
  • the manner of outputting the ventilation analysis results may include outputting the ventilation analysis results in real time.
  • ventilation analysis results such as failure probability or success probability of the current ventilation mode, failure probability or success probability of weaning from the current ventilation mode, etc. can be displayed on the display interface in real time, so that the display interface can refresh the latest ventilation analysis results in real time.
  • the manner of outputting the ventilation analysis results may include outputting the ventilation analysis results when the ventilation analysis results meeting the preset requirements are obtained.
  • the failure probability or success probability may be output when the failure probability of the current ventilation mode is higher than a preset threshold, or the success probability of the current ventilation mode is lower than the preset threshold.
  • the resulting failure or success probabilities can be displayed in real time and an alert generated when the failure probability is above a preset threshold or the success probability is below a preset threshold.
  • the recommended ventilation method is displayed; otherwise, other ventilation methods are not recommended.
  • the ventilation analysis method 100 of the embodiment of the present application uses a ventilation analysis model combined with various ventilation-related information to analyze and evaluate the currently adopted ventilation mode, and outputs the evaluation results of the current ventilation mode and its influencing factors, which can instantly Give objective and accurate suggestions to assist doctors in promptly switching ventilation methods when necessary.
  • the embodiment of the present application provides a medical device.
  • the medical device 400 includes a memory 410, a processor 420 and a display 430.
  • the memory 410 stores a computer program run by the processor 420.
  • the computer program is When the processor 410 is running, the processor 410 executes the steps of the ventilation analysis method as described above to obtain the ventilation analysis results, and the display 430 is used to display the ventilation analysis results.
  • the medical device 400 in the embodiment of the present application includes, but is not limited to, any one of a monitor, a local central station, a remote central station, a cloud service system, a mobile terminal, or a combination thereof.
  • the medical device 400 may be a portable medical device, a transport medical device, a mobile medical device, or the like.
  • medical device 400 includes a ventilation device.
  • Ventilation equipment includes ventilators, anesthesia machines and other medical equipment with ventilation functions. Ventilation equipment is used to replace, control or change the physiological breathing of the ventilated subject, improve the respiratory function of the ventilated subject and reduce the respiratory consumption of the ventilated subject by increasing lung ventilation.
  • the ventilation device may be a ventilation device with non-invasive ventilation, invasive ventilation, and high-flow oxygen therapy functions.
  • the medical device 400 may also include a monitor, which is used to monitor patient monitoring parameters in real time.
  • the monitor may include a bedside monitor, a wearable monitor, etc.
  • the medical device 400 may also include a central station for receiving monitoring data sent by medical devices such as monitors and performing centralized monitoring of the monitoring data.
  • the central station and other medical equipment can form an interconnection platform through BeneLink to realize data communication between the central station and other medical equipment.
  • the central station can access monitoring data monitored by a monitor.
  • the central station and other medical equipment can also establish data connections through communication modules, including but not limited to Wifi, Bluetooth or 2G, 3G, 4G, 5G and other communication modules of mobile communication.
  • the processor 420 of the medical device 400 can be a central processing unit (CPU), or other general-purpose processor, digital signal processor (Digital Signal Processor, DSP), application specific integrated circuit (Application Specific Integrated Circuit, ASIC) ), field-programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc.
  • a general-purpose processor may be a microprocessor or the processor may be any conventional processor, etc.
  • the processor 420 is the control center of the medical device 400 and connects various parts of the entire medical device 400 using various interfaces and lines.
  • the display 430 is used to provide visual display output to the user.
  • the display 430 can be used to provide a visual display interface for the user, including but not limited to a monitoring interface, an operation interface, a parameter setting interface, an alarm interface, etc.
  • the display 430 can be implemented as a touch display, or have an input panel.
  • the display 430 that is, the display 430 may serve as an input/output device.
  • Medical device 400 also includes memory 410 .
  • the memory 410 is used to store data of ventilation objects associated with the medical device 400.
  • the memory 410 also stores program codes, and the processor 420 is configured to call the program codes in the memory 410 to execute the steps of the ventilation analysis method 100 described above.
  • the memory 410 may mainly include a program storage area and a data storage area, where the program storage area may store an operating system, application programs required for multiple functions, and the like.
  • the memory 410 may include high-speed random access memory, and may also include non-volatile memory, such as hard disk, memory, plug-in hard disk, smart memory card, secure digital card, flash memory card, multiple disk storage devices, flash memory devices, or other volatile solid-state storage devices.
  • the medical device 400 When the medical device 400 is a ventilation device, the medical device 400 further includes a ventilation unit for providing mechanical ventilation to the ventilated subject.
  • the ventilation unit at least includes an air source interface and an air path.
  • the air source interface is connected to the air source.
  • the air source may include an external air source such as a central air supply system in a hospital, or may also include an external air compressor or a built-in air supply. turbine, etc.;
  • the air path includes the inspiratory branch and the expiratory branch.
  • the inhalation branch is used to manage the inhalation behavior of the ventilation object, and can provide gas with required oxygen concentration and flow rate for the ventilation object.
  • the expiratory branch is used to manage the exhalation behavior of the ventilated subject and can receive the gas exhaled by the ventilated subject.
  • the end far away from the ventilation object is connected to the air source through the air source interface, and the supply gas provided by the air source is obtained and supplied to the ventilation object at the other end of the suction branch.
  • the supply gas may be oxygen or a mixture of air and oxygen.
  • a flow adjustment device can also be provided on the suction branch to provide a required flow rate of gas; the flow adjustment device includes an electromagnetic proportional valve, but is not limited to this.
  • a pressure regulating device can also be provided on the suction branch to provide gas at a required pressure; the pressure regulating device includes a pressure regulating valve, but is not limited to this.
  • medical device 400 also includes a sensor.
  • the sensor and the processor 420 can be connected through a wired communication protocol or a wireless communication protocol, so that data can be exchanged between the sensor and the processor 420 .
  • Wireless communication technologies include but are not limited to: various generations of mobile communication technologies (2G, 3G, 4G and 5G), wireless networks, Bluetooth, ZigBee, ultra-wideband UWB, NFC, etc.
  • the sensor is used to collect the patient's physiological data, such as vital sign parameters and ventilation parameters.
  • the sensor may be independently disposed outside the medical device 400 and detachably connected to the medical device 400 .
  • the processor 420 is also used to perform data processing on the monitoring data signals from the sensors.
  • the medical device 400 may not include a sensor, and the medical device 400 may receive monitoring data collected by an external monitoring accessory through a communication module.
  • the sensor at least includes a flow sensor disposed in the gas path for measuring the flow signal of the gas in the gas path.
  • the processor 420 can control the flow adjustment device according to the flow value detected by the flow sensor to achieve precise control of the flow.
  • the sensor also includes a pressure sensor for detecting a pressure signal, the pressure sensor includes a pressure sensor for detecting the gas pressure at the gas source, and a pressure sensor for monitoring a pressure signal reflecting the inspiratory effort of the ventilated subject, reflecting the pressure of the ventilated subject's inspiratory effort.
  • Signals include intrapulmonary pressure signal, airway pressure signal, esophageal pressure signal, transdiaphragmatic pressure signal, etc.
  • Medical device 400 may also include a communication module coupled to processor 420 .
  • the medical device 400 can establish data communication with a third-party device through a communication module.
  • the processor 420 also controls the communication module to obtain data from the third-party device, or send monitoring data collected by the sensor to the third-party device.
  • Communication modules include but are not limited to WiFI, Bluetooth, NFC, ZigBee, ultra-wideband UWB or 2G, 3G, 4G, 5G and other mobile communication modules.
  • the medical device 400 can also establish a connection with a third-party device through a cable.
  • Third-party devices include other medical devices.
  • Third-party devices can also be cloud service systems or mobile terminals such as mobile phones, tablets, and personal computers.
  • the medical device 400 also includes an alarm module connected to the processor 420 for outputting alarm prompts so that medical staff can perform corresponding rescue measures.
  • Alarm modules include but are not limited to alarm lights, alarm speakers, etc.
  • the alarm information can be displayed on the display, the alarm light can flash to alert medical staff, or the alarm information can be played through the alarm speaker.
  • the medical device 400 may also include other input/output devices connected to the processor 420, including but not limited to input devices such as keyboards, mice, touch screens, and remote controls. , and output devices including but not limited to printers, speakers, etc.
  • input devices such as keyboards, mice, touch screens, and remote controls.
  • output devices including but not limited to printers, speakers, etc.
  • FIG. 4 is only an example of components included in the medical device 400 and does not constitute a limitation on the medical device 400.
  • the monitoring device 400 may include more or less components than those shown in FIG. 4, or a combination of certain components. Some components, or different components, such as the medical device 400 may also include a power module, a positioning and navigation device, a printing device, etc.
  • the medical device 400 in the embodiment of the present application is used to implement the ventilation analysis method 100 mentioned above, and therefore also has similar advantages.
  • FIG. 2 another aspect of the embodiment of the present application provides a ventilation analysis method 200 for a central station.
  • the ventilation analysis method 200 is generally similar to the ventilation analysis method 100, except that the ventilation analysis method 100 can be implemented in A variety of medical devices, while the Ventilation Analysis Method 200 is dedicated to central stations.
  • the central station can be interconnected with a variety of medical devices, making it easier to obtain ventilation-related information from a variety of medical devices; and the central station can be interconnected with multiple ventilators to provide ventilation analysis results for multiple ventilated objects.
  • the ventilation analysis method 200 includes the following steps:
  • step S210 ventilation-related information of the ventilation object is obtained from the ventilation equipment and/or third-party equipment that is communicatively connected to the central station.
  • the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation object.
  • the central station can obtain ventilation parameters from a ventilation device that provides mechanical ventilation to a ventilated subject; obtain vital sign parameters of the same ventilated subject from a monitor that is communicatively connected to the central station; extract medical information of the ventilated subject from a clinical information system and Basic Information.
  • step S220 the ventilation-related information is input into the ventilation analysis model to obtain ventilation analysis results corresponding to the current ventilation mode.
  • the ventilation analysis results at least include evaluation results of the current ventilation mode.
  • step S120 the ventilation analysis method 100 .
  • the ventilation analysis results of the ventilation analysis method 100 at least include the evaluation results obtained by evaluating the current ventilation mode and the influencing factors of the evaluation results, and the ventilation analysis method 200 may only include the evaluation results obtained by evaluating the current ventilation mode.
  • the ventilation analysis result is sent to the ventilation device and/or a third-party device.
  • the third-party device may be a third-party device that provides ventilation-related information, or may be another third-party device.
  • the ventilation analysis method 200 analyzes and evaluates the currently adopted ventilation method through a ventilation analysis model and a variety of ventilation-related information, and can give objective and accurate suggestions to assist doctors in timely switching ventilation methods when necessary. Furthermore, the ventilation analysis method 200 is implemented in a central station, which makes it easier to aggregate ventilation-related information on ventilation objects from multiple sources. For more specific details of the ventilation analysis method 200, please refer to the relevant description of the ventilation analysis method 100, and will not be described again here.
  • the central station 500 includes a memory 510, a processor 520 and a communication unit 530.
  • a computer program run by the processor 520 is stored on the memory 510.
  • the computer program executes the steps of the ventilation analysis method 200 when run by the processor 520.
  • the ventilation analysis results are obtained.
  • the communication unit 530 is used to send the ventilation analysis results obtained by the processor 520 to the ventilation equipment that is communicatively connected to the central station.
  • the ventilation equipment is used to provide mechanical ventilation for the ventilation object.
  • the ventilation analysis results are for the ventilation equipment. Ventilation analysis results for currently used ventilation methods.
  • Central stations may include local central stations or remote central stations.
  • the central station connects the monitoring equipment and ventilation equipment in one department or multiple departments through the network to achieve the purpose of real-time centralized monitoring and massive data storage.
  • the central station stores monitoring data, basic patient information, medical history information, diagnostic information, etc., but is not limited to this.
  • an embodiment of the present application also provides a medical system 600.
  • the medical system 600 includes a ventilation device 610 and a central station 620.
  • the central station 620 may be the central station 500 as described above, and is used to execute the ventilation analysis method 100 or the ventilation analysis method 200 to obtain ventilation analysis results.
  • the ventilation equipment 610 is communicatively connected with the central station 620 to receive and display the ventilation analysis results sent by the central station 620.
  • the central station 620 can be communicatively connected with multiple ventilation devices 610 and other devices such as monitors.
  • the ventilation analysis results obtained by the central station 620 can also be displayed on the display interface of the central station 620 itself.
  • For specific details of the ventilation analysis method performed by the central station 620 please refer to the relevant description of the ventilation analysis method 100 or the ventilation analysis method 200 above, and will not be described again here.
  • the ventilation analysis model is combined with a variety of ventilation-related information to analyze and evaluate the currently adopted ventilation methods, and can provide objective and accurate results in real time. It is recommended that the assistant doctor switch the ventilation mode in time when necessary.
  • the disclosed devices and methods can be implemented in other ways.
  • the device embodiments described above are only illustrative.
  • the division of the units is only a logical function division. In actual implementation, there may be other division methods.
  • multiple units or components may be combined or can be integrated into another device, or some features can be ignored, or not implemented.
  • Various component embodiments of the present application may be implemented in hardware, or in software modules running on one or more processors, or in a combination thereof.
  • a microprocessor or a digital signal processor (DSP) may be used in practice to implement some or all functions of some modules according to embodiments of the present application.
  • DSP digital signal processor
  • the present application may also be implemented as a device program (eg, computer program and computer program product) for performing part or all of the methods described herein.
  • Such a program implementing the present application may be stored on a computer-readable medium, or may be in the form of one or more signals. Such signals may be downloaded from an Internet website, or provided on a carrier signal, or in any other form.

Abstract

A ventilation analysis method (100), a medical device (400), a central station (500), and a medical system (600). The ventilation analysis method (100) comprises: acquiring ventilation-related information on a ventilation object, the ventilation-related information at least comprising basic information, medical information, physiological data, and ventilation parameters of the ventilation object (S110); inputting the ventilation-related information into a ventilation analysis model to obtain a ventilation analysis result corresponding to the current ventilation mode, the ventilation analysis result at least comprising an evaluation result obtained by evaluating the current ventilation mode and influencing factors of the evaluation result (S120); and outputting the ventilation analysis result (S130). By means of the ventilation analysis model in combination with various ventilation-related information, the currently adopted ventilation mode is analyzed and evaluated, thereby giving objective and accurate suggestions and assisting a doctor in switching the ventilation mode in time when needed.

Description

通气分析方法、医疗设备、中央站和医疗系统Ventilation analysis methods, medical devices, central stations and medical systems
说明书manual
技术领域Technical field
本申请涉及医疗设备领域,更具体地涉及一种通气分析方法、医疗设备、中央站和医疗系统。The present application relates to the field of medical equipment, and more specifically to a ventilation analysis method, medical equipment, central station and medical system.
背景技术Background technique
呼吸衰竭是危重患者最常见的器官功能障碍,严重威胁患者生命安全。特别是在突发公共卫生事件中,呼吸衰竭成为患者的主要死因。呼吸支持治疗是呼吸衰竭患者最主要的治疗方式,ICU(Intensive Care Unit,重症加强护理病房)中很大一部分患者需要无创或有创机械通气治疗。根据患者呼吸衰竭的严重程度不同及对治疗的反应性差异,临床上重症患者需要采用不同的通气方式。如何准确地为呼吸衰竭患者选择通气方式是临床面临的重大挑战。Respiratory failure is the most common organ dysfunction in critically ill patients and seriously threatens patients' lives. Especially in public health emergencies, respiratory failure becomes the main cause of death for patients. Respiratory support therapy is the most important treatment for patients with respiratory failure. A large proportion of patients in the ICU (Intensive Care Unit) require non-invasive or invasive mechanical ventilation treatment. Depending on the severity of the patient's respiratory failure and the response to treatment, clinically severe patients require different ventilation methods. How to accurately select ventilation methods for patients with respiratory failure is a major clinical challenge.
目前针对呼吸衰竭患者的通气方式的选择往往根据呼吸衰竭的严重程度及临床医生的判断,临床医生可以依据患者生理指标、通过客观的评分表格及主观的判断做出决策。其瓶颈在于主观判断缺乏统一的标准,而人工填表导致医生的诊疗效率低。Currently, the choice of ventilation method for patients with respiratory failure is often based on the severity of respiratory failure and the clinician's judgment. Clinicians can make decisions based on the patient's physiological indicators, objective scoring tables, and subjective judgment. The bottleneck lies in the lack of unified standards for subjective judgment, and manual filling of forms results in low efficiency of doctors' diagnosis and treatment.
发明内容Contents of the invention
在发明内容部分中引入了一系列简化形式的概念,这将在具体实施方式部分中进一步详细说明。本申请的发明内容部分并不意味着要试图限定出所要求保护的技术方案的关键特征和必要技术特征,更不意味着试图确定所要求保护的技术方案的保护范围。This summary introduces a series of concepts in a simplified form that are further described in detail in the detailed description. The invention summary part of this application is not intended to limit the key features and necessary technical features of the claimed technical solution, nor is it intended to determine the protection scope of the claimed technical solution.
本申请实施例第一方面提供一种通气分析方法,包括:The first aspect of the embodiments of the present application provides a ventilation analysis method, including:
获取通气对象的通气相关信息,所述通气相关信息至少包括所述通气对象的基本信息、医疗信息、生理数据和通气参数;Obtaining ventilation-related information of the ventilation subject, the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation subject;
将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式进行评估得到的评估结果以及所述评估结果的影响因素;Input the ventilation-related information into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode. The ventilation analysis results at least include the evaluation results obtained by evaluating the current ventilation mode and the influencing factors of the evaluation results;
输出所述通气分析结果。Output the ventilation analysis results.
本申请实施例第二方面提供一种通气分析方法,所述方法用于中央站,包括:The second aspect of the embodiments of the present application provides a ventilation analysis method, which method is used in a central station and includes:
从与所述中央站通信连接的通气设备和/或第三方设备获取通气对象的通气相关信息,所述通气相关信息至少包括所述通气对象的基本信息、医疗信息、生理数据和通气参数;Obtain ventilation-related information of the ventilation object from the ventilation equipment and/or third-party equipment communicatively connected to the central station, where the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation object;
将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式的评估结果;Input the ventilation-related information into the ventilation analysis model to obtain ventilation analysis results corresponding to the current ventilation mode, where the ventilation analysis results at least include evaluation results of the current ventilation mode;
将所述通气分析结果下发到所述通气设备和/或第三方设备。Send the ventilation analysis results to the ventilation equipment and/or third-party equipment.
本申请实施例第三方面提供一种医疗设备,所述医疗设备包括存储器、处理器和显示器,所述存储器上存储有由所述处理器运行的计算机程序,所述计算机程序在被所述处理器运行时执行如上所述的通气分析方法的步骤,以得到通气分析结果,所述显示器用于显示所述通气分析结果。A third aspect of the embodiment of the present application provides a medical device. The medical device includes a memory, a processor, and a display. The memory stores a computer program run by the processor. The computer program is processed by the processor. When the device is running, the steps of the ventilation analysis method as described above are performed to obtain ventilation analysis results, and the display is used to display the ventilation analysis results.
本申请实施例第四方面提供一种中央站,所述中央站包括存储器、处理器和通信单元,所述存储器上存储有由所述处理器运行的计算机程序,所述计算机程序在被所述处理器运行时执行如上所述的通气分析方法的步骤以得到通气分析结果,所述通信单元用于将所述处理器得到的通气分析结果下发到与所述中央站通信连接的通气设备。The fourth aspect of the embodiment of the present application provides a central station. The central station includes a memory, a processor and a communication unit. The memory stores a computer program run by the processor. The computer program is run by the processor. When the processor is running, the steps of the ventilation analysis method as described above are executed to obtain the ventilation analysis results, and the communication unit is used to send the ventilation analysis results obtained by the processor to the ventilation equipment that is communicatively connected to the central station.
本申请实施例第五方面提供一种医疗系统,所述医疗系统包括通气设备和如上所述的中央站,所述通气设备与所述中央站通信连接,以接收并显示所述中央站下发的所述通气分析结果。A fifth aspect of the embodiment of the present application provides a medical system. The medical system includes a ventilation device and a central station as described above. The ventilation device is communicatively connected to the central station to receive and display information sent by the central station. The ventilation analysis results.
根据本申请实施例的通气分析方法、医疗设备、中央站和医疗系统通过通气分析模型结合多种通气相关信息对当前采用的通气方式进行分析评估,能够给出客观准确的建议,辅助医生在有需要时及时切换通气方式。According to the ventilation analysis method, medical equipment, central station and medical system of the embodiment of the present application, the ventilation analysis model is combined with a variety of ventilation-related information to analyze and evaluate the currently adopted ventilation methods, and can give objective and accurate suggestions to assist doctors when necessary. Switch the ventilation mode promptly when necessary.
附图说明Description of the drawings
为了更清楚地说明本申请实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application, the drawings needed to be used in the description of the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some embodiments of the present application. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without exerting any creative effort.
在附图中:In the attached picture:
图1示出根据本申请一实施例的通气分析方法的示意性流程图;Figure 1 shows a schematic flow chart of a ventilation analysis method according to an embodiment of the present application;
图2示出根据本申请另一实施例的通气分析方法的示意性流程图;Figure 2 shows a schematic flow chart of a ventilation analysis method according to another embodiment of the present application;
图3示出根据本申请一实施例的评估结果的风险因素的示意图;Figure 3 shows a schematic diagram of risk factors of assessment results according to an embodiment of the present application;
图4示出根据本申请一实施例的医疗设备的示意性框图;Figure 4 shows a schematic block diagram of a medical device according to an embodiment of the present application;
图5示出根据本申请一实施例的中央站的示意性框图;Figure 5 shows a schematic block diagram of a central station according to an embodiment of the present application;
图6示出根据本申请另一实施例的医疗系统的示意性框图。Figure 6 shows a schematic block diagram of a medical system according to another embodiment of the present application.
具体实施方式Detailed ways
为了使得本申请的目的、技术方案和优点更为明显,下面将参照附图详细描述根据本申请的示例实施例。显然,所描述的实施例仅仅是本申请的一部分实施例,而不是本申请的全部实施例,应理解,本申请不受这里描述的示例实施例的限制。基于本申请中描述的本申请实施例,本领域技术人员在没有付出创造性劳动的情况下所得到的所有其它实施例都应落入本申请的保护范围之内。In order to make the purpose, technical solutions and advantages of the present application more apparent, exemplary embodiments according to the present application will be described in detail below with reference to the accompanying drawings. Obviously, the described embodiments are only a part of the embodiments of the present application, rather than all the embodiments of the present application. It should be understood that the present application is not limited by the example embodiments described here. Based on the embodiments of the present application described in this application, all other embodiments obtained by those skilled in the art without creative efforts should fall within the protection scope of the present application.
在下文的描述中,给出了大量具体的细节以便提供对本申请更为彻底的理解。然而,对于本领域技术人员而言显而易见的是,本申请可以无需一个或多个这些细节而得以实施。在其他的例子中,为了避免与本申请发生混淆,对于本领域公知的一些技术特征未进行描述。In the following description, numerous specific details are given in order to provide a thorough understanding of the present application. However, it will be apparent to one skilled in the art that the present application may be practiced without one or more of these details. In other examples, some technical features that are well known in the art are not described in order to avoid confusion with the present application.
应当理解的是,本申请能够以不同形式实施,而不应当解释为局限于这里提出的实施例。相反地,提供这些实施例将使公开彻底和完全,并且将本申请的范围完全地传递给本领域技术人员。It will be understood that the application may be embodied in different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the application to those skilled in the art.
在此使用的术语的目的仅在于描述具体实施例并且不作为本申请的限制。在此使用时,单数形式的“一”、“一个”和“所述/该”也意图包括复数形式,除非上下文清楚指出另外的方式。还应明白术语“组成”和/或“包括”,当在该说明书中使用时,确定所述特征、整数、步骤、操作、元件和/或部件的存在,但不排除一个或更多其它的特征、整数、步骤、操作、元件、部件和/或组的存在或添加。在此使用时,术语“和/或”包括相关所列项目的任何及所有组合。此外,本申请能够以多种不同的形式来实现,并不限于本实施例所描述的实施例。提供以下具体实施例的目的是便于对本申请公开内容更清楚透彻的理解,其中上、下、左、右等指示方位的字词仅是针对所示结构在对应附图中位置而言。The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. As used herein, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly dictates otherwise. It will also be understood that the terms "consisting of" and/or "comprising", when used in this specification, identify the presence of stated features, integers, steps, operations, elements and/or parts but do not exclude one or more others The presence or addition of features, integers, steps, operations, elements, parts, and/or groups. When used herein, the term "and/or" includes any and all combinations of the associated listed items. In addition, the present application can be implemented in many different forms and is not limited to the embodiment described in this embodiment. The purpose of providing the following specific embodiments is to facilitate a clearer and thorough understanding of the disclosure content of the present application. The words indicating directions such as up, down, left, and right are only for the positions of the structures shown in the corresponding drawings.
为了彻底理解本申请,将在下列的描述中提出详细的结构,以便阐释本申请提出的技术方案。本申请的可选实施例详细描述如下,然而除了这些详 细描述外,本申请还可以具有其他实施方式。In order to fully understand the present application, detailed structures will be provided in the following description to explain the technical solutions proposed in the present application. Optional embodiments of the present application are described in detail below, however, in addition to these detailed descriptions, the present application may also have other implementations.
下面,将参考附图描述根据本申请实施例的通气分析方法。首先参考图1,图1是本申请实施例的通气分析方法100的一个示意性流程图。如图1所示,本申请一个实施例的通气分析方法100包括如下步骤:Below, the ventilation analysis method according to the embodiment of the present application will be described with reference to the accompanying drawings. First, refer to FIG. 1 , which is a schematic flow chart of a ventilation analysis method 100 according to an embodiment of the present application. As shown in Figure 1, a ventilation analysis method 100 according to one embodiment of the present application includes the following steps:
在步骤S110,获取通气对象的通气相关信息,所述通气相关信息至少包括所述通医疗信息、生理数据和通气参数;在一些示例中,通气相关信息还可包括通气对象的基本信息;In step S110, obtain ventilation-related information of the ventilation object, which at least includes the ventilation medical information, physiological data, and ventilation parameters; in some examples, the ventilation-related information may also include basic information of the ventilation object;
在步骤S120,将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式进行评估得到的评估结果以及所述评估结果的影响因素;In step S120, the ventilation-related information is input into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode. The ventilation analysis results at least include the evaluation results obtained by evaluating the current ventilation mode and the evaluation results. influencing factors;
在步骤S130,输出所述通气分析结果。In step S130, the ventilation analysis result is output.
本申请实施例的通气分析方法100可以实现于通气设备,例如呼吸机、麻醉机等;通气设备用于为通气对象提供机械通气(例如有创通气、无创通气、氧疗等)。基于通气分析方法100得到的通气分析结果可以由通气设备输出,例如可以显示在通气设备的显示器上,以作为通气方式选择的客观化的参考依据。除通气设备以外,本申请实施例的通气分析方法100也可以实现于中央站、监护仪、云端服务系统或其他电子设备。The ventilation analysis method 100 in the embodiment of the present application can be implemented in ventilation equipment, such as ventilators, anesthesia machines, etc.; ventilation equipment is used to provide mechanical ventilation (such as invasive ventilation, non-invasive ventilation, oxygen therapy, etc.) for ventilation objects. The ventilation analysis results obtained based on the ventilation analysis method 100 can be output by the ventilation device, for example, can be displayed on a display of the ventilation device to serve as an objective reference for selecting a ventilation mode. In addition to ventilation equipment, the ventilation analysis method 100 of the embodiment of the present application can also be implemented in a central station, monitor, cloud service system or other electronic equipment.
根据通气对象呼吸衰竭的严重程度不同及对治疗的反应性差异,通气设备采用不同的通气方式为通气对象提供机械通气。一般来说,通气设备可以选用的通气方式为高流量氧疗方式、无创通气方式或有创通气方式。其中,高流量氧疗方式一般是通过鼻塞导管或气管导管直接将一定氧浓度的空氧混合高流量气体输送给通气对象的氧疗方式,具有高流量、精确氧浓度以及加温湿化等特点,能够纠正通气对象的低氧血症。无创通气方式是指无需建立人工气道的机械通气方法,包括气道内正压通气和胸外负压通气等,目前的无创通气一般指通过面罩、鼻罩等方式与通气对象相联的无创正压机械通气。有创通气方式是指需要通过气管插管或气管切开建立有创人工气道的机械通气方式。Depending on the severity of respiratory failure and response to treatment of the ventilated subjects, the ventilation equipment uses different ventilation methods to provide mechanical ventilation to the ventilated subjects. Generally speaking, the ventilation methods that can be used for ventilation equipment are high-flow oxygen therapy, non-invasive ventilation or invasive ventilation. Among them, high-flow oxygen therapy is generally an oxygen therapy method that directly delivers a certain oxygen concentration of air oxygen mixed with high-flow gas to the ventilated object through a nasal tube or tracheal tube. It has the characteristics of high flow, precise oxygen concentration, and heating and humidification. , capable of correcting hypoxemia in ventilated subjects. Non-invasive ventilation methods refer to mechanical ventilation methods that do not require the establishment of artificial airways, including positive pressure ventilation in the airway and negative pressure ventilation outside the chest. Current non-invasive ventilation generally refers to non-invasive positive ventilation methods that are connected to the ventilation object through masks, nasal masks, etc. pressure mechanical ventilation. Invasive ventilation refers to a mechanical ventilation method that requires the establishment of an invasive artificial airway through endotracheal intubation or tracheotomy.
在以上三种通气方式中,高流量氧疗通过提高吸入气体流量改善缺氧情况,拔管后应用经鼻高流量氧疗可以改善氧合,降低CO 2潴留。当高流量氧疗不能维持氧合或氧合障碍有恶化趋势时,可以转为无创机械通气或有创机械通气。与高流量氧疗相比,无创通气可降低急性低氧性呼吸衰竭患者的死 亡率,降低患者的呼吸困难评分和改善呼吸频率。鉴于此,提供从高流量氧疗方式切换为无创通气或有创通气的建议具有临床价值。另一方面,与无创通气或有创通气相比,高流量氧疗在患者的舒适性和耐受性方面有明显优势。在无创通气方式下,若通气对象病情无改善或产生恶化,则需要转为有创通气方式。反之,在有创通气方式下,若通气对象病情改善,则需要转为无创通气方式或高流量氧疗通气方式,以减少有创通气的相关并发症。可见通气方式应根据通气对象的情况及时切换,以提高治疗效果,保障生命安全。 Among the above three ventilation methods, high-flow oxygen therapy improves hypoxia by increasing the flow of inhaled gas. Application of high-flow nasal oxygen therapy after extubation can improve oxygenation and reduce CO2 retention. When high-flow oxygen therapy cannot maintain oxygenation or the oxygenation disorder tends to worsen, non-invasive mechanical ventilation or invasive mechanical ventilation can be switched. Compared with high-flow oxygen therapy, non-invasive ventilation reduces mortality, reduces patients' dyspnea scores and improves respiratory rate in patients with acute hypoxic respiratory failure. Given this, providing recommendations for switching from high-flow oxygen therapy to noninvasive or invasive ventilation has clinical value. On the other hand, high-flow oxygen therapy has clear advantages in terms of patient comfort and tolerability compared with non-invasive ventilation or invasive ventilation. Under non-invasive ventilation, if the condition of the ventilated subject does not improve or worsens, it is necessary to switch to invasive ventilation. On the contrary, under invasive ventilation, if the condition of the ventilated subject improves, it is necessary to switch to non-invasive ventilation or high-flow oxygen therapy ventilation to reduce complications related to invasive ventilation. It can be seen that the ventilation method should be switched in time according to the condition of the ventilation object to improve the treatment effect and ensure life safety.
通气方式的切换需要考虑到多种因素,如果由医生自行判断采用何种通气方式,一方面主观性较强,判断的准确性无法保证;另一方面影响通气方式的因素较多,决策的效率较低。本申请实施例通过通气分析模型对当前采用的通气方式进行分析评估,能够即时给出客观准确的建议,使医生在有需要时及时切换通气方式。Many factors need to be taken into consideration when switching ventilation methods. If the doctor decides which ventilation method to use, on the one hand, it is highly subjective and the accuracy of the judgment cannot be guaranteed; on the other hand, there are many factors that affect the ventilation method, and the efficiency of decision-making cannot be guaranteed. lower. The embodiment of this application uses a ventilation analysis model to analyze and evaluate the currently used ventilation methods, which can provide objective and accurate suggestions in real time, allowing doctors to switch ventilation methods in a timely manner when necessary.
具体地,通气分析模型综合多种通气相关信息输出通气分析结果,通气相关信息时在为通气对象提供机械通气的过程中获取的。考虑到对通气方式的影响因素,在一些实施例中,通气相关信息至少包括通气对象的基本信息、医疗信息、生理数据和通气参数。Specifically, the ventilation analysis model combines multiple ventilation-related information to output ventilation analysis results, and the ventilation-related information is obtained in the process of providing mechanical ventilation to the ventilated object. Taking into account factors affecting ventilation mode, in some embodiments, ventilation-related information includes at least basic information, medical information, physiological data and ventilation parameters of the ventilation subject.
其中,通气对象的基本信息包括通气对象的年龄、性别、身高、体重等,能够影响其他参数正常或异常的判断,例如年龄越小心率越快,女性的心率比同龄男性快等。通气对象的基本信息可以由用户输入,或由设备自动获取。例如,可以获取通气对象的资料,提取资料中的关键字,根据提取到的关键字获得通气对象的基本信息。通气对象的资料包括通气对象的病人信息库、电子病历、检查申请单等中的一个或多个。或者,也可以通过其他任何可行的方式获得通气对象的基本信息。Among them, the basic information of the ventilation subject includes the age, gender, height, weight, etc. of the ventilation subject, which can affect the judgment of whether other parameters are normal or abnormal. For example, the younger the age, the faster the heart rate, and the heart rate of women is faster than that of men of the same age. Basic information about the ventilation object can be input by the user or automatically obtained by the device. For example, the data of the ventilation object can be obtained, keywords in the data can be extracted, and the basic information of the ventilation object can be obtained based on the extracted keywords. The ventilation object's information includes one or more of the ventilation object's patient information database, electronic medical records, examination application forms, etc. Alternatively, basic information about the ventilated object can be obtained through any other feasible method.
通气对象的医疗信息同样是影响通气方式决策的重要因素,具体包括但不限于:通气对象的诊断结果、既往病史、急性生理与慢性健康评分(Acute Physiology and Chronic Health Evaluation,APACHE)、序贯器官衰竭(Sequential Organ Failure Assessment,SOFA)评分、意识状态、血管活性药物用量以及镇静评分。通气对象的医疗信息可以从临床信息系统(Clinical Information System,CIS)提取。The medical information of the ventilated subject is also an important factor that affects the decision-making of ventilation mode, including but not limited to: the diagnosis result of the ventilated subject, past medical history, Acute Physiology and Chronic Health Evaluation (APACHE), sequential organ Failure (Sequential Organ Failure Assessment, SOFA) score, state of consciousness, vasoactive drug dosage, and sedation score. The medical information of the ventilated subject can be extracted from the Clinical Information System (CIS).
其中,通气对象的诊断结果指通气对象本次诊断的诊断结果,直接影响通气方式的决策。既往病史为历史诊断结果,例如糖尿病史、心脑血管病史、 各种高危疾病史等,可以作为通气方式的补充参考因素。Among them, the diagnosis result of the ventilation object refers to the diagnosis result of the current diagnosis of the ventilation object, which directly affects the decision-making of the ventilation mode. Past medical history refers to historical diagnosis results, such as history of diabetes, cardiovascular and cerebrovascular diseases, various high-risk diseases, etc., which can be used as supplementary reference factors for ventilation methods.
APACHEII评分能够表示病情的严重性,是基于客观的生理学参数对患者的病情进行定量化的评估所得到的评估结果,APACHEII评分的分值越高,表示病情越严重,对有创通气的需求越高。APACHEII评分具体包括急性生理评分、年龄评分以及慢性健康评分,最终的评分为三项评分之和。SOFA评分能够反映呼吸系统、血液系统、肝脏系统、心血管系统、神经系统和肾脏系统的功能障碍或衰竭的程度,评分越高则表示预后越差。The APACHEII score can indicate the severity of the condition. It is an evaluation result obtained by quantitatively evaluating the patient's condition based on objective physiological parameters. The higher the APACHEII score, the more serious the condition and the greater the need for invasive ventilation. high. The APACHEII score specifically includes acute physiology score, age score and chronic health score, and the final score is the sum of the three scores. The SOFA score can reflect the degree of dysfunction or failure of the respiratory system, blood system, liver system, cardiovascular system, nervous system and renal system. The higher the score, the worse the prognosis.
血管活性药物包括血管加压药物、血管扩张药物和正性肌力药。血管活性药物可用于机械通气时的辅助治疗,例如,长时间机械通气可反射性引起肾血管收缩,血管扩张药物能够改善该问题。因此,对生理数据的评估需要考虑血管活性药物的影响。除了血管活性药物以外,通气对象的医疗信息还可以包括其他给药信息。Vasoactive drugs include vasopressors, vasodilators, and inotropes. Vasoactive drugs can be used as auxiliary treatment during mechanical ventilation. For example, long-term mechanical ventilation can reflexively cause renal vasoconstriction, and vasodilator drugs can improve this problem. Therefore, evaluation of physiological data needs to consider the effects of vasoactive drugs. In addition to vasoactive medications, the ventilated subject's medical information may include other medication information.
镇静评分反映通气对象的镇静状态。由于通气对象在机械通气期间可能发生躁动,导致发生人机对抗和拔管等意外,监测镇静评分能够减少意外并促进自主呼吸与呼吸机同步。示例性地,镇静评分包括Ramsay、SAD评分等主观评分和基于BIS等的客观评分等。The sedation score reflects the sedation status of the ventilated subject. Since ventilated subjects may become agitated during mechanical ventilation, leading to accidents such as human-machine confrontation and extubation, monitoring sedation scores can reduce accidents and promote synchronization of spontaneous breathing with the ventilator. For example, sedation scores include subjective scores such as Ramsay and SAD scores, and objective scores based on BIS, etc.
通气对象的医疗信息能够反映通气对象长期的生理状态,而通气对象的生理数据反映的是通气对象的当前生理状态,更具即时性。示例性地,生理数据包括以下至少一项:为通气对象提供通气的通气设备采集的反映通气对象自主呼吸努力的生理数据、反映通气对象的呼吸系统状态的生理数据、与通气对象关联的监护设备采集的生命体征参数、以及通气对象的检验信息。The medical information of the ventilated subject can reflect the long-term physiological state of the ventilated subject, while the physiological data of the ventilated subject reflects the current physiological state of the ventilated subject, which is more immediate. Exemplarily, the physiological data includes at least one of the following: physiological data collected by a ventilation device that provides ventilation for the ventilated subject reflecting the spontaneous breathing effort of the ventilated subject, physiological data reflecting the respiratory system status of the ventilated subject, and monitoring equipment associated with the ventilated subject. Collected vital sign parameters and inspection information of ventilation objects.
其中,反映通气对象自主呼吸努力的生理数据包括但不限于通气对象的自主呼吸努力强度和做功,反映通气对象的呼吸系统状态的生理数据包括但不限于肺顺应性和气道阻力。其中,肺顺应性是指单位压力改变时所引起的肺容积的改变,代表了胸腔压力改变对肺容积的影响,肺顺应性具体可以包括为静态肺顺应性(Cst)和动态肺顺应性(Cdyn);气道阻力是指气道内单位流量所产生的压力差,能较好地反映气道的阻塞情况;自主呼吸努力强度和做功用于评价通气对象是否能够耐受自主呼吸。其中,肺顺应性和气道阻力仅在有创通气时测量并使用。Among them, the physiological data reflecting the spontaneous breathing effort of the ventilated subject include but are not limited to the intensity and work of the ventilated subject's spontaneous breathing effort, and the physiological data reflecting the respiratory system status of the ventilated subject include but are not limited to lung compliance and airway resistance. Among them, lung compliance refers to the change in lung volume caused by a change in unit pressure, which represents the impact of changes in thoracic pressure on lung volume. Lung compliance can specifically include static lung compliance (Cst) and dynamic lung compliance ( Cdyn); airway resistance refers to the pressure difference generated by unit flow in the airway, which can better reflect the obstruction of the airway; spontaneous breathing effort intensity and work are used to evaluate whether the ventilated subject can tolerate spontaneous breathing. Among them, lung compliance and airway resistance are measured and used only during invasive ventilation.
生命体征参数直接反映通气对象的生理状态,包括以下至少一项:心率、呼吸频率、血压、经皮指脉氧饱和度、呼气末二氧化碳分压。其中,心率和 血压是患者的基本生命体征参数;呼吸频率为每分钟呼吸的次数;经皮指脉氧饱和度是用无创脉搏氧饱和度法测得的血氧饱和度;呼气末二氧化碳分压是指呼气终末期呼出的混合肺泡气含有的二氧化碳分压。Vital sign parameters directly reflect the physiological state of the ventilated subject, including at least one of the following: heart rate, respiratory rate, blood pressure, transcutaneous finger pulse oxygen saturation, and end-tidal carbon dioxide partial pressure. Among them, heart rate and blood pressure are the patient's basic vital sign parameters; respiratory rate is the number of breaths per minute; transcutaneous finger pulse oximeter is the blood oxygen saturation measured using the non-invasive pulse oximetry method; end-tidal carbon dioxide Pressure refers to the partial pressure of carbon dioxide contained in the mixed alveolar air exhaled at the end of expiration.
通气对象的检验信息包括血常规结果和血气结果中的至少一项。其中,血常规结果包括红细胞计数、血红蛋白浓度、白细胞浓度、白细胞分类计数和血小板浓度等。血常规结果对机体内许多病理改变都有敏感反映。血气分析是指通过测定人体血液的酸碱度和溶解在血液中的气体(主要包括二氧化碳和氧气)来了解人体呼吸功能与酸碱平衡状态,血气分析结果能直接反映肺换气功能及其酸碱平衡状态,具体包括但不限于动脉氧分压、CO 2分压等。 The test information of the ventilated subject includes at least one of blood routine results and blood gas results. Among them, blood routine results include red blood cell count, hemoglobin concentration, white blood cell concentration, white blood cell differential count, platelet concentration, etc. Blood routine results are sensitive to many pathological changes in the body. Blood gas analysis refers to understanding the human respiratory function and acid-base balance status by measuring the pH of human blood and the gases dissolved in the blood (mainly including carbon dioxide and oxygen). The blood gas analysis results can directly reflect the lung ventilation function and its acid-base balance. Status, specifically including but not limited to arterial oxygen partial pressure, CO2 partial pressure, etc.
通气参数能够反映为通气对象提供机械通气的通气设备的状态,进而反映通气设备在当前状态下所能提供的呼吸支持与通气对象的需求是否匹配。通气参数可以包括通气设备的控制参数,以及用于对控制参数进行反馈调节的监测参数。示例性地,通气参数包括但不限于潮气量、呼吸率、呼气终末正压、吸入氧浓度等。潮气量为每次呼吸时吸入或呼出的气体量;呼吸率代表单位时间内空气的吸入量;呼吸终末正压(PEEP)是于呼气末期在呼吸道保持的一定正压,其作用是避免肺泡早期闭合,使一部分因渗出、肺不张等原因失去通气功能的肺泡扩张,使减少的功能残气量增加,达到提高血氧的目的;吸入氧浓度是通气设备提供的气体中氧气所占的容积百分比。Ventilation parameters can reflect the status of the ventilation equipment that provides mechanical ventilation to the ventilated subject, and further reflect whether the respiratory support that the ventilation equipment can provide in the current state matches the needs of the ventilated subject. The ventilation parameters may include control parameters of the ventilation device, and monitoring parameters for feedback adjustment of the control parameters. Exemplarily, ventilation parameters include, but are not limited to, tidal volume, respiratory rate, positive end-expiratory pressure, inspired oxygen concentration, and the like. Tidal volume is the amount of air inhaled or exhaled in each breath; respiratory rate represents the amount of air inhaled per unit time; positive end-expiratory pressure (PEEP) is a certain positive pressure maintained in the respiratory tract at the end of expiration, and its function is to avoid Early alveolar closure expands some alveoli that have lost their ventilation function due to exudation, atelectasis, etc., increasing the reduced functional residual volume to achieve the purpose of increasing blood oxygen; the inhaled oxygen concentration is the proportion of oxygen in the gas provided by the ventilation equipment volume percentage.
获取到上述通气相关信息后,将通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果。由于通气分析模型需要综合一段时间内的通气相关信息进行分析,因此可以每隔一段时间更新一次分析结果。其中,当前通气方式对应的通气分析结果至少包括对当前通气方式进行评估得到的评估结果,评估结果用于表征当前通气方式对于通气对象来说是否可行。进一步地,当前通气方式对应的通气分析结果还包括对评估结果的影响因素。After obtaining the above ventilation-related information, the ventilation-related information is input into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode. Since the ventilation analysis model needs to comprehensively analyze ventilation-related information over a period of time, the analysis results can be updated at regular intervals. The ventilation analysis results corresponding to the current ventilation mode at least include evaluation results obtained by evaluating the current ventilation mode, and the evaluation results are used to characterize whether the current ventilation mode is feasible for the ventilation subject. Furthermore, the ventilation analysis results corresponding to the current ventilation mode also include factors that affect the evaluation results.
其中,通气分析模型可以是在具有分析判断能力的网络模型的基础训练得到的。一般来说,对网络模型进行训练所使用的数据的数据类型与通气相关信息的数据类型一致。在模型训练阶段,可以基于专家知识库,通过决策树、对既往数据的回归分析、CatBoost、XGBoost、随机森林等人工智能技术生成用于辅助决策的通气分析模型。Among them, the ventilation analysis model can be obtained by training on the basis of a network model with analysis and judgment capabilities. Generally speaking, the data type of the data used to train the network model is consistent with the data type of ventilation-related information. In the model training phase, ventilation analysis models for assisting decision-making can be generated based on expert knowledge base and artificial intelligence technologies such as decision trees, regression analysis of past data, CatBoost, XGBoost, and random forests.
具体地,可以收集训练数据以构建训练数据库,训练数据可以来自病历 库,每组训练数据包括通气方式、通气相关信息和对应的治疗结果。治疗结果包括患者病情恶化或死亡的失败结果、或患者痊愈或病情改善的成功结果。示例性地,可以针对每种通气方式分别构建训练数据库,从而训练每种通气方式的通气分析模型,通过对通气分析模型进行训练,使得将通气相关信息输入到通气分析模型以后,通气分析模型能够输出对应通气方式的通气分析结果。或者,也可以对统一的模型进行训练,使得将当前的通气方式和通气相关信息输入到通气分析模型后,通气分析模型能够输出当前通气方式对应的通气分析结果。Specifically, training data can be collected to build a training database. The training data can come from the medical record database. Each set of training data includes ventilation mode, ventilation-related information and corresponding treatment results. Treatment outcomes include failed outcomes, in which the patient's condition worsens or dies, or successful outcomes, in which the patient recovers or improves in condition. For example, a training database can be constructed for each ventilation mode to train the ventilation analysis model for each ventilation mode. By training the ventilation analysis model, after the ventilation-related information is input into the ventilation analysis model, the ventilation analysis model can Output the ventilation analysis results corresponding to the ventilation mode. Alternatively, a unified model can be trained so that after the current ventilation mode and ventilation-related information are input into the ventilation analysis model, the ventilation analysis model can output ventilation analysis results corresponding to the current ventilation mode.
通气分析模型输出的对当前通气方式的评估结果可以有各种形式,只要能够体现当前通气方式是否合适。例如,通气分析模型输出的评估结果包括当前通气方式的失败概率或成功概率。可以理解的是,失败概率与成功概率之和为100%,可以选择显示失败概率或显示成功概率。用户可以自行判断失败概率或成功概率是否满足预期,或者,也可以在显示界面上显示失败概率或成功概率的阈值,辅助用户进行对比。在一些实施例中,还可以将高于或低于预设阈值的失败概率显示为不同的颜色,或者将高于或低于预设阈值的成功概率显示为不同的颜色等,从而更直观地提示用户当前通气方式的可行性。The evaluation results of the current ventilation method output by the ventilation analysis model can be in various forms, as long as they can reflect whether the current ventilation method is appropriate. For example, the evaluation results output by the ventilation analysis model include the failure probability or success probability of the current ventilation mode. It can be understood that the sum of the failure probability and the success probability is 100%, and you can choose to display the failure probability or the success probability. Users can judge by themselves whether the failure probability or success probability meets expectations, or they can display the threshold of failure probability or success probability on the display interface to assist users in comparison. In some embodiments, failure probabilities above or below a preset threshold can also be displayed as different colors, or success probabilities above or below a preset threshold can be displayed as different colors, etc., so as to be more intuitive. Prompts the user on the feasibility of the current ventilation method.
在一个实施例中,对当前通气方式的评估结果包括从当前通气方式撤机的失败概率或成功概率。从当前通气方式撤机的失败概率或成功概率表示当前时刻从通气设备上撤机的失败概率或成功概率,相比而言,上文所述的当前通气方式的失败概率或成功概率表示,若继续采用当前通气方式为通气对象提供机械通气,最终治疗失败(例如通气对象病情恶化或死亡)或治疗成功(例如通气对象痊愈)的概率。输出从当前通气方式撤机的失败概率或成功概率可以辅助用户判断当前是否能够撤机。In one embodiment, the evaluation result of the current ventilation mode includes a failure probability or a success probability of weaning from the current ventilation mode. The failure probability or success probability of weaning from the current ventilation mode represents the failure probability or success probability of weaning from the ventilation device at the current moment. In comparison, the failure probability or success probability of the current ventilation mode described above indicates that if Continuing to provide mechanical ventilation to the ventilated subject using the current ventilation method, the probability that the final treatment will fail (for example, the ventilated subject's condition worsens or dies) or the treatment will be successful (for example, the ventilated subject will recover). Outputting the failure probability or success probability of weaning from the current ventilation method can assist the user in judging whether weaning can currently be performed.
当前通气方式为有创通气方式时,对当前通气方式的评估结果可以包括从当前通气方式拔管的失败概率或成功概率。其中,拔管包括从有创通气撤机,或者,从有创通气切换为不需要人工气道的无创通气方式或高流量氧疗方式。从当前通气方式拔管的失败概率或成功概率为当前时刻的失败概率或成功概率。输出从当前通气方式拔管的失败概率或成功概率可以辅助用户判断当前是否能够拔管,将有创通气切换为不需要人工气道的其他通气方式。When the current ventilation method is an invasive ventilation method, the evaluation results of the current ventilation method may include the failure probability or success probability of extubation from the current ventilation method. Among them, extubation includes weaning from invasive ventilation, or switching from invasive ventilation to non-invasive ventilation or high-flow oxygen therapy that does not require an artificial airway. The failure probability or success probability of extubation from the current ventilation mode is the failure probability or success probability at the current moment. Outputting the failure probability or success probability of extubation from the current ventilation method can assist the user in judging whether extubation is currently possible and switching invasive ventilation to other ventilation methods that do not require artificial airway.
在通气分析方法100中,输出的通气分析结果还包括对评估结果的影响 因素。示例性地,对评估结果的影响因素包括评估结果的风险因素和有益因素中的至少一个。将评估结果与风险因素或有益因素一同输出有利于医护人员了解产生评估结果的原因,排查隐患,并且能够增加评估结果的可信度。其中,风险因素包括导致当前通气方式失败的因素,有益因素包括促进当前通气方式成功的因素。风险因素和有益因素可以来自于通气对象的通气相关信息。例如,风险因素包括导致当前通气方式失败的生理状态或病理状态,有益因素包括导致当前通气方式成功的生理状态或病理状态。In the ventilation analysis method 100, the output ventilation analysis results also include factors that affect the evaluation results. Illustratively, the influencing factors on the assessment results include at least one of risk factors and beneficial factors of the assessment results. Outputting the assessment results together with risk factors or beneficial factors will help medical staff understand the reasons for the assessment results, troubleshoot hidden dangers, and increase the credibility of the assessment results. Among them, risk factors include factors that lead to the failure of the current ventilation method, and beneficial factors include factors that promote the success of the current ventilation method. Risk factors and benefit factors can be derived from ventilation-related information about the ventilated subject. For example, risk factors include physiological states or pathological states that lead to the failure of the current ventilation method, and beneficial factors include physiological states or pathological states that lead to the success of the current ventilation method.
进一步地,通气分析结果还可以包括风险因素或有益因素对评估结果的贡献度。参见图3,其中示出了当前通气方式的以下几种风险因素:平台压、潮气量、心率、血压、APACHE和PaO2;以及每种风险因素对评估结果的贡献度。由图3可知,可能导致当前通气方式失败的最主要的两种因素为平台压和潮气量,换句话说,平台压和潮气量的输入很大程度上导致模型输出的当前通气方式失败概率提高。医护人员可以重点关注导致平台压和潮气量的测量结果不佳的原因,以提高当前通气方式的成功概率。Furthermore, the ventilation analysis results may also include the contribution of risk factors or beneficial factors to the assessment results. Refer to Figure 3, which shows the following risk factors of the current ventilation method: plateau pressure, tidal volume, heart rate, blood pressure, APACHE and PaO2; and the contribution of each risk factor to the evaluation results. As can be seen from Figure 3, the two most important factors that may cause the failure of the current ventilation method are plateau pressure and tidal volume. In other words, the input of plateau pressure and tidal volume largely leads to an increase in the failure probability of the current ventilation method output by the model. . Healthcare professionals can focus on the causes of poor plateau pressure and tidal volume measurements to improve the probability of success with the current ventilation method.
在一个实施例中,当对当前通气方式的评估结果不满足预设要求时,通气分析结果还可以包括推荐的通气方式。示例性地,可以通过通气分析模型得到每种通气方式对应的失败概率或成功概率,选择失败概率最低或成功概率最高的通气方式作为推荐采用的通气方式。推荐的通气方式可以包括至少一个。输出推荐的通气方式能够辅助用户决策将当前通气方式切换为何种通气方式。In one embodiment, when the evaluation result of the current ventilation mode does not meet the preset requirements, the ventilation analysis result may also include a recommended ventilation mode. For example, the failure probability or success probability corresponding to each ventilation mode can be obtained through a ventilation analysis model, and the ventilation mode with the lowest failure probability or the highest success probability is selected as the recommended ventilation mode. Recommended ventilation methods may include at least one. Outputting the recommended ventilation method can assist the user in deciding which ventilation method to switch the current ventilation method to.
进一步地,通气分析结果还可以包括推荐的通气方式的推荐程度。推荐程度可以是所有通气方式的推荐程度,或最优的通气方式的推荐程度,或推荐程度高于阈值的通气方式的推荐程度。用户可以结合推荐程度和主观评价共同决策采用何种通气方式。例如,如果两种通气方式的推荐程度近似,用户也可以结合其他外部因素选择切换为推荐程度稍低的通气方式,而不局限于只能采用推荐程度最高的通气方式。Furthermore, the ventilation analysis results may also include the degree of recommendation of the recommended ventilation method. The recommendation level may be the recommendation level for all ventilation methods, the recommendation level for the optimal ventilation method, or the recommendation level for ventilation methods with a recommendation level higher than a threshold. Users can decide which ventilation method to use based on the recommendation level and subjective evaluation. For example, if the recommended degree of two ventilation methods is similar, the user can also choose to switch to a ventilation method with a lower degree of recommendation based on other external factors, and is not limited to only using the ventilation method with the highest degree of recommendation.
例如,如果当前的通气方式为高流量氧疗方式,且已不能满足通气对象的需求,则可以输出对无创通气方式和有创通气方式的推荐程度,辅助用户决策将高流量氧疗切换为无创通气方式或切换为有创通气方式。示例性地,可以根据每种通气方式的成功概率确定每种通气方式的推荐程度。如果当前的通气方式为有创通气方式,且可以满足通气对象的需求,而通气分析模型 分析得到无创通气方式或高流量氧疗方式的成功概率高于阈值,则可以输出对无创通气方式和高流量氧疗方式的推荐程度,辅助用户决策有创通气方式切换为无创通气方式或切换为高流量氧疗通气方式。For example, if the current ventilation method is high-flow oxygen therapy and cannot meet the needs of the ventilation subjects, the recommendation level for non-invasive ventilation and invasive ventilation can be output to assist the user in deciding to switch from high-flow oxygen therapy to non-invasive. Ventilation mode or switch to invasive ventilation mode. For example, the degree of recommendation of each ventilation mode may be determined based on the success probability of each ventilation mode. If the current ventilation method is an invasive ventilation method and can meet the needs of the ventilation subject, and the ventilation analysis model analysis shows that the success probability of the non-invasive ventilation method or high-flow oxygen therapy method is higher than the threshold, then the results of the non-invasive ventilation method and high-flow oxygen therapy method can be output. The recommendation level of flow oxygen therapy mode helps users decide whether to switch from invasive ventilation mode to non-invasive ventilation mode or to switch to high flow oxygen therapy ventilation mode.
在一个实施例中,所述通气分析结果还包括采用所述推荐的通气方式进行通气的失败概率或成功概率,即假设为通气对象采用推荐的通气方式进行通气,最终治疗失败的概率或成功的概率。输出采用推荐的通气方式进行通气的失败概率或成功概率有助于辅助医生确定是否仅需要切换通气方式即能保证治疗成功,若切换为推荐的通气方式进行通气后失败概率仍然过高,则需要医生及时采取其他治疗手段。In one embodiment, the ventilation analysis results also include the probability of failure or success of ventilation using the recommended ventilation method, that is, assuming that the ventilated subject adopts the recommended ventilation method for ventilation, the probability of final treatment failure or success Probability. Outputting the failure probability or success probability of ventilation using the recommended ventilation method helps assist doctors to determine whether only switching the ventilation method is needed to ensure successful treatment. If the failure probability is still too high after switching to the recommended ventilation method, it is necessary The doctor takes other treatment methods promptly.
在一个实施例中,通气分析结果还包括从当前通气方式切换为推荐的通气方式的影响因素。例如,何种因素促使通气分析模型输出建议从无创通气模式切换为有创通气模式的通气分析结果,何种因素促使通气分析模型输出建议从无创通气模式切换为有创通气模式的通气分析结果等。In one embodiment, the ventilation analysis results also include influencing factors of switching from the current ventilation mode to the recommended ventilation mode. For example, what factors prompt the ventilation analysis model to output ventilation analysis results that recommend switching from non-invasive ventilation mode to invasive ventilation mode, and what factors prompt the ventilation analysis model to output ventilation analysis results that recommend switching from non-invasive ventilation mode to invasive ventilation mode, etc. .
进一步地,从当前通气方式切换为推荐的通气方式的影响因素还包括导致通气方式切换失败的风险因素、以及导致通气方式切换成功的有益因素。其中,切换失败主要指从高级通气方式切换为低级通气方式的过程失败,例如从有创通气方式切换为无创通气方式后,无创通气方式不能维持通气对象的呼吸。因此,导致通气方式切换失败的风险因素可以包括导致切换后的通气方式失败的风险因素,导致通气方式切换成功的有益因素可以包括导致切换后的通气方式成功的风险因素。Furthermore, the influencing factors of switching from the current ventilation mode to the recommended ventilation mode also include risk factors that lead to failure in ventilation mode switching, and beneficial factors that lead to successful ventilation mode switching. Among them, switching failure mainly refers to the failure of the process of switching from an advanced ventilation mode to a low-level ventilation mode. For example, after switching from an invasive ventilation mode to a non-invasive ventilation mode, the non-invasive ventilation mode cannot maintain the breathing of the ventilated subject. Therefore, the risk factors that lead to the failure of ventilation mode switching may include risk factors that lead to the failure of the ventilation mode after switching, and the beneficial factors that lead to the success of ventilation mode switching may include the risk factors that lead to the success of the ventilation mode after switching.
示例性地,除了针对通气方式的分析结果以外,通气分析结果还可以包括推荐采用的通气模式。通气模式的分类依据主要包括,触发通气的条件,限制吸气流速的条件,切换通气的条件等。即通气模式为各通气方式下的呼吸支持策略。For example, in addition to the analysis results for the ventilation mode, the ventilation analysis results may also include recommended ventilation modes. The classification basis of ventilation modes mainly includes conditions for triggering ventilation, conditions for limiting inspiratory flow rate, conditions for switching ventilation, etc. That is, the ventilation mode is the respiratory support strategy under each ventilation mode.
示例性地,通气模式包括机控模式、自主模式和复合模式。其中,机控模式是由通气设备完全替代通气对象的自主呼吸,具体包括容控模式、压控模式等。自主模式是由通气对象的自主呼吸决定呼吸的切换,吸气触发和吸气时间均取决于通气对象自身。自主模式主要包括压力支持模式(CPAP)。复合模式综合了机控模式和自主模式,是指当通气对象出现自主呼吸时,便协助其完成自主呼吸;如通气对象无自主呼吸,则给予机控通气,该模式能够减少通气对象自主呼吸与通气设备对抗。Exemplarily, ventilation modes include machine-controlled mode, autonomous mode and composite mode. Among them, the machine-controlled mode means that the ventilation equipment completely replaces the spontaneous breathing of the ventilated subject, specifically including volume-controlled mode, pressure-controlled mode, etc. In the autonomous mode, the breathing switching is determined by the spontaneous breathing of the ventilated subject, and the inspiratory trigger and inspiratory time depend on the ventilated subject itself. Autonomous mode mainly includes pressure support mode (CPAP). The composite mode combines the machine-controlled mode and the autonomous mode. It means that when the ventilated subject appears to breathe spontaneously, it will assist the ventilated subject to complete spontaneous breathing; if the ventilated subject does not breathe spontaneously, machine-controlled ventilation will be given. This mode can reduce the risk of spontaneous breathing of the ventilated subject. Ventilator versus.
不同状态的通气对象适合不同的通气模式。例如,若通气对象自主呼吸恢复,则建议从机控模式切换为自主通气模式;通气对象呼吸不稳定,建议使用SIMV模式;重度ARDS病人建议采用容控通气模式。当然,通气分析模型考虑的因素不限于此,而是能够结合多种通气相关信息输出通气模式的建议,相比于主观判断来说,考虑的因素更为全面。Ventilation objects in different states are suitable for different ventilation modes. For example, if the ventilated subject recovers spontaneous breathing, it is recommended to switch from machine-controlled mode to spontaneous ventilation mode; if the ventilated subject has unstable breathing, it is recommended to use SIMV mode; for patients with severe ARDS, it is recommended to use volume-controlled ventilation mode. Of course, the factors considered by the ventilation analysis model are not limited to these, but can combine a variety of ventilation-related information to output ventilation mode recommendations. Compared with subjective judgment, the factors considered are more comprehensive.
除了输出针对通气模式的建议以外,还可以将为通气对象提供通气的通气设备的通气模式自动设置为推荐采用的通气模式,以实现通气模式的自动切换。示例性地,当通气分析方法100实现于通气设备时,通气设备自身得到关于通气模式的分析结果以后,由其处理器控制实现通气模式的自动切换。当通气分析方法100实现于中央站等其他医疗设备时,可以通过医疗设备之间的网络连接将通气模式的分析结果发送至通气设备,通气设备接收到通气模式的分析结果后,再由其处理器控制实现通气模式的自动切换。In addition to outputting recommendations for ventilation modes, the ventilation mode of the ventilation device that provides ventilation for the ventilated object can also be automatically set to the recommended ventilation mode to achieve automatic switching of ventilation modes. For example, when the ventilation analysis method 100 is implemented in a ventilation device, after the ventilation device itself obtains the analysis results regarding the ventilation mode, its processor controls the automatic switching of the ventilation mode. When the ventilation analysis method 100 is implemented in other medical equipment such as a central station, the analysis results of the ventilation mode can be sent to the ventilation equipment through the network connection between the medical equipment. After the ventilation equipment receives the analysis results of the ventilation mode, it will be processed by it. Automatic switching of ventilation modes is achieved through device control.
在步骤S130中,输出通气分析结果的方式可以包括实时输出通气分析结果。例如,可以实时将当前通气方式的失败概率或成功概率、从当前通气方式撤机的失败概率或成功概率等通气分析结果显示在显示界面上,使显示界面实时刷新最新的通气分析结果。In step S130, the manner of outputting the ventilation analysis results may include outputting the ventilation analysis results in real time. For example, ventilation analysis results such as failure probability or success probability of the current ventilation mode, failure probability or success probability of weaning from the current ventilation mode, etc. can be displayed on the display interface in real time, so that the display interface can refresh the latest ventilation analysis results in real time.
或者,输出通气分析结果的方式可以包括在得到满足预设要求的通气分析结果时输出通气分析结果。例如,可以在当前通气方式的失败概率高于预设阈值、或当前通气方式的成功概率低于预设阈值时输出该失败概率或成功概率。或者,可以实时显示所得到的失败概率或成功概率,并在失败概率高于预设阈值或成功概率低于预设阈值时生成警报。又例如,在当前通气方式的失败概率高于预设阈值或成功概率低于预设阈值时,显示推荐的通气方式,否则不推荐其他通气方式。Alternatively, the manner of outputting the ventilation analysis results may include outputting the ventilation analysis results when the ventilation analysis results meeting the preset requirements are obtained. For example, the failure probability or success probability may be output when the failure probability of the current ventilation mode is higher than a preset threshold, or the success probability of the current ventilation mode is lower than the preset threshold. Alternatively, the resulting failure or success probabilities can be displayed in real time and an alert generated when the failure probability is above a preset threshold or the success probability is below a preset threshold. For another example, when the failure probability of the current ventilation method is higher than the preset threshold or the success probability is lower than the preset threshold, the recommended ventilation method is displayed; otherwise, other ventilation methods are not recommended.
综上所述,本申请实施例的通气分析方法100通过通气分析模型结合多种通气相关信息对当前采用的通气方式进行分析评估,并输出对当前通气模式的评估结果及其影响因素,能够即时给出客观准确的建议,辅助医生在有需要时及时切换通气方式。In summary, the ventilation analysis method 100 of the embodiment of the present application uses a ventilation analysis model combined with various ventilation-related information to analyze and evaluate the currently adopted ventilation mode, and outputs the evaluation results of the current ventilation mode and its influencing factors, which can instantly Give objective and accurate suggestions to assist doctors in promptly switching ventilation methods when necessary.
本申请实施例另一方面提供了一种医疗设备,参见图4,医疗设备400包括存储器410、处理器420和显示器430,存储器410上存储有由处理器420运行的计算机程序,计算机程序在被处理器410运行时执行如上所述的通气分析方法的步骤,以得到通气分析结果,显示器430用于显示通气分析 结果。On the other hand, the embodiment of the present application provides a medical device. Referring to Figure 4, the medical device 400 includes a memory 410, a processor 420 and a display 430. The memory 410 stores a computer program run by the processor 420. The computer program is When the processor 410 is running, the processor 410 executes the steps of the ventilation analysis method as described above to obtain the ventilation analysis results, and the display 430 is used to display the ventilation analysis results.
本申请实施例的医疗设备400包括但不限于监护仪、本地中央站、远程中央站、云端服务系统、移动终端中的任意一个或其组合。医疗设备400可以为便携式医疗设备、转运式医疗设备、或者移动式医疗设备等。The medical device 400 in the embodiment of the present application includes, but is not limited to, any one of a monitor, a local central station, a remote central station, a cloud service system, a mobile terminal, or a combination thereof. The medical device 400 may be a portable medical device, a transport medical device, a mobile medical device, or the like.
在一个实施例中,医疗设备400包括通气设备。通气设备包括呼吸机、麻醉机等具备通气功能的医疗设备。通气设备用于代替、控制或改变通气对象的生理呼吸,通过增加肺通气量来改善通气对象的呼吸功能并减轻通气对象的呼吸消耗。在一些实施例中,通气设备可以是具有无创通气、有创通气和高流量氧疗功能的通气设备。In one embodiment, medical device 400 includes a ventilation device. Ventilation equipment includes ventilators, anesthesia machines and other medical equipment with ventilation functions. Ventilation equipment is used to replace, control or change the physiological breathing of the ventilated subject, improve the respiratory function of the ventilated subject and reduce the respiratory consumption of the ventilated subject by increasing lung ventilation. In some embodiments, the ventilation device may be a ventilation device with non-invasive ventilation, invasive ventilation, and high-flow oxygen therapy functions.
医疗设备400也可以包括监护仪,监护仪用于对病人的监测参数进行实时监测,监护仪可包括床边监护仪、穿戴式监护仪等。医疗设备400还可以包括中央站,用于接收监护仪等医疗设备发送的监测数据,并对监测数据进行集中监护。The medical device 400 may also include a monitor, which is used to monitor patient monitoring parameters in real time. The monitor may include a bedside monitor, a wearable monitor, etc. The medical device 400 may also include a central station for receiving monitoring data sent by medical devices such as monitors and performing centralized monitoring of the monitoring data.
在一些实施例中,中央站与其他医疗设备可以通过BeneLink组成互连平台,以实现中央站与其他医疗设备之间的数据通讯,例如,中央站可以对监护仪监测到的监测数据进行访问。在其它一些实施例中,中央站与其他医疗设备还可以通过通信模块建立数据连接,通信模块包括但不限于Wifi、蓝牙或移动通信的2G、3G、4G、5G等通信模块。In some embodiments, the central station and other medical equipment can form an interconnection platform through BeneLink to realize data communication between the central station and other medical equipment. For example, the central station can access monitoring data monitored by a monitor. In some other embodiments, the central station and other medical equipment can also establish data connections through communication modules, including but not limited to Wifi, Bluetooth or 2G, 3G, 4G, 5G and other communication modules of mobile communication.
医疗设备400的处理器420可以是中央处理单元(Central Processing Unit,CPU),还可以是其它通用处理器、数字信号处理器(Digital Signal Processor,DSP)、专用集成电路(Application Specific Integrated Circuit,ASIC)、现场可编程门阵列(Field-Programmable Gate Array,FPGA)或者其它可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。处理器420是医疗设备400的控制中心,利用各种接口和线路连接整个医疗设备400的各个部分。The processor 420 of the medical device 400 can be a central processing unit (CPU), or other general-purpose processor, digital signal processor (Digital Signal Processor, DSP), application specific integrated circuit (Application Specific Integrated Circuit, ASIC) ), field-programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. A general-purpose processor may be a microprocessor or the processor may be any conventional processor, etc. The processor 420 is the control center of the medical device 400 and connects various parts of the entire medical device 400 using various interfaces and lines.
显示器430用于为用户提供可视化的显示输出。具体地,显示器430可以用于为用户提供可视化显示界面,包括但不限于监测界面、操作界面、参数设置界面、报警界面等,显示例性地,显示器430可以实现为触摸显示器,或者具有输入面板的显示器430,即显示器430可以作为输入/输出装置。The display 430 is used to provide visual display output to the user. Specifically, the display 430 can be used to provide a visual display interface for the user, including but not limited to a monitoring interface, an operation interface, a parameter setting interface, an alarm interface, etc. For example, the display 430 can be implemented as a touch display, or have an input panel. The display 430, that is, the display 430 may serve as an input/output device.
医疗设备400还包括存储器410。存储器410用于存储医疗设备400所关联的通气对象的数据。存储器410还存储有程序代码,处理器420用于调 用存储器410中的程序代码而执行上文所述的通气分析方法100的步骤。存储器410可以主要包括程序存储区和数据存储区,其中,程序存储区可存储操作系统、多个功能所需的应用程序等。此外,存储器410可以包括高速随机存取存储器,还可以包括非易失性存储器,例如硬盘、内存、插接式硬盘,智能存储卡,安全数字卡,闪存卡多个磁盘存储器件、闪存器件、或其它易失性固态存储器件。 Medical device 400 also includes memory 410 . The memory 410 is used to store data of ventilation objects associated with the medical device 400. The memory 410 also stores program codes, and the processor 420 is configured to call the program codes in the memory 410 to execute the steps of the ventilation analysis method 100 described above. The memory 410 may mainly include a program storage area and a data storage area, where the program storage area may store an operating system, application programs required for multiple functions, and the like. In addition, the memory 410 may include high-speed random access memory, and may also include non-volatile memory, such as hard disk, memory, plug-in hard disk, smart memory card, secure digital card, flash memory card, multiple disk storage devices, flash memory devices, or other volatile solid-state storage devices.
当医疗设备400为通气设备时,医疗设备400还包括通气单元,用于向通气对象提供机械通气。示例性地,通气单元至少包括气源接口和气路,气源接口与气源连通,气源可以包括诸如医院的中央供气系统的外部气源,或也可以包括外置的空气压缩机或内置的涡轮等;气路包括吸气支路和呼气支路。其中,吸气支路用于管理通气对象的吸气行为,能够为通气对象提供所需氧浓度和流速的气体。呼气支路用于管理通气对象的呼气行为,能够接收通气对象呼出的气体。在吸气支路中,远离通气对象的一端通过气源接口连接气源,获取气源提供的供应气体,并供应给吸气支路另一端的通气对象。其中,供应气体可以是氧气或空气与氧气的混合气。吸气支路上还可以设置有流量调节装置,从而提供所需流量的气体;流量调节装置包括电磁比例阀,但不限于此。吸气支路上还可以设置压力调节装置,从而提供所需压力的气体;压力调压装置包括压力调压阀,但不限于此。在一些实施例中,医疗设备400还包括传感器。传感器和处理器420之间可以通过有线通信协议或无线通信协议相连,以使传感器和处理器420之间可以进行数据交互。无线通信技术包括但不限于:各代移动通信技术(2G、3G、4G及5G)、无线网络、蓝牙(Bluetooth)、ZigBee、超宽带UWB、NFC等。具体地,传感器用于采集病人的生理数据,例如生命体征参数和通气参数等。在一些实施例中,传感器可以独立设置于医疗设备400之外,而与医疗设备400可拆卸地连接。处理器420还用于对来自传感器的监测数据信号进行数据处理。在其它一些实施例中,医疗设备400也可以不包括传感器,医疗设备400可以通过通信模块接收外部监测附件采集的监测数据。When the medical device 400 is a ventilation device, the medical device 400 further includes a ventilation unit for providing mechanical ventilation to the ventilated subject. Exemplarily, the ventilation unit at least includes an air source interface and an air path. The air source interface is connected to the air source. The air source may include an external air source such as a central air supply system in a hospital, or may also include an external air compressor or a built-in air supply. turbine, etc.; the air path includes the inspiratory branch and the expiratory branch. Among them, the inhalation branch is used to manage the inhalation behavior of the ventilation object, and can provide gas with required oxygen concentration and flow rate for the ventilation object. The expiratory branch is used to manage the exhalation behavior of the ventilated subject and can receive the gas exhaled by the ventilated subject. In the suction branch, the end far away from the ventilation object is connected to the air source through the air source interface, and the supply gas provided by the air source is obtained and supplied to the ventilation object at the other end of the suction branch. The supply gas may be oxygen or a mixture of air and oxygen. A flow adjustment device can also be provided on the suction branch to provide a required flow rate of gas; the flow adjustment device includes an electromagnetic proportional valve, but is not limited to this. A pressure regulating device can also be provided on the suction branch to provide gas at a required pressure; the pressure regulating device includes a pressure regulating valve, but is not limited to this. In some embodiments, medical device 400 also includes a sensor. The sensor and the processor 420 can be connected through a wired communication protocol or a wireless communication protocol, so that data can be exchanged between the sensor and the processor 420 . Wireless communication technologies include but are not limited to: various generations of mobile communication technologies (2G, 3G, 4G and 5G), wireless networks, Bluetooth, ZigBee, ultra-wideband UWB, NFC, etc. Specifically, the sensor is used to collect the patient's physiological data, such as vital sign parameters and ventilation parameters. In some embodiments, the sensor may be independently disposed outside the medical device 400 and detachably connected to the medical device 400 . The processor 420 is also used to perform data processing on the monitoring data signals from the sensors. In some other embodiments, the medical device 400 may not include a sensor, and the medical device 400 may receive monitoring data collected by an external monitoring accessory through a communication module.
当医疗设备400为通气设备时,传感器至少包括设置于气路的流量传感器,用于测量气路内气体的流量信号。处理器420可以根据流量传感器所检测的流量值来控制流量调节装置,以实现流量的精确控制。传感器还包括压力传感器,用于检测压力信号,压力传感器包括用于检测气源处气体压力的 压力传感器,以及监测反映通气对象吸气努力的压力信号的压力传感器,反映通气对象吸气努力的压力信号包括肺内压信号、气道压信号、食道压信号、跨膈压信号等。When the medical device 400 is a ventilation device, the sensor at least includes a flow sensor disposed in the gas path for measuring the flow signal of the gas in the gas path. The processor 420 can control the flow adjustment device according to the flow value detected by the flow sensor to achieve precise control of the flow. The sensor also includes a pressure sensor for detecting a pressure signal, the pressure sensor includes a pressure sensor for detecting the gas pressure at the gas source, and a pressure sensor for monitoring a pressure signal reflecting the inspiratory effort of the ventilated subject, reflecting the pressure of the ventilated subject's inspiratory effort. Signals include intrapulmonary pressure signal, airway pressure signal, esophageal pressure signal, transdiaphragmatic pressure signal, etc.
医疗设备400还可以包括连接于处理器420的通信模块。在一些实施例中,医疗设备400可以通过通信模块与第三方设备建立数据通信。处理器420还控制通信模块获取第三方设备的数据,或者将传感器采集到的监测数据发送至第三方设备。通信模块包括但不限于WiFI、蓝牙、NFC、ZigBee、超宽带UWB或2G、3G、4G、5G等移动通信模块。在其它一些实施例中,医疗设备400还可以通过线缆与第三方设备建立连接。第三方设备包括其他医疗设备。第三方设备还可以是云端服务系统或手机、平板电脑、个人电脑等移动终端。 Medical device 400 may also include a communication module coupled to processor 420 . In some embodiments, the medical device 400 can establish data communication with a third-party device through a communication module. The processor 420 also controls the communication module to obtain data from the third-party device, or send monitoring data collected by the sensor to the third-party device. Communication modules include but are not limited to WiFI, Bluetooth, NFC, ZigBee, ultra-wideband UWB or 2G, 3G, 4G, 5G and other mobile communication modules. In some other embodiments, the medical device 400 can also establish a connection with a third-party device through a cable. Third-party devices include other medical devices. Third-party devices can also be cloud service systems or mobile terminals such as mobile phones, tablets, and personal computers.
在一些实施例中,医疗设备400还包括连接处理器420的报警模块,用于输出报警提示,以便医护人员执行相应的救护措施。报警模块包括但不限于报警灯、报警扬声器等。报警信息可以显示在显示器上、通过报警灯闪烁以提示医护人员、或通过报警扬声器播放报警信息等。In some embodiments, the medical device 400 also includes an alarm module connected to the processor 420 for outputting alarm prompts so that medical staff can perform corresponding rescue measures. Alarm modules include but are not limited to alarm lights, alarm speakers, etc. The alarm information can be displayed on the display, the alarm light can flash to alert medical staff, or the alarm information can be played through the alarm speaker.
为了实现用户接口和数据交换,除了显示器430之外,医疗设备400还可以包括连接于处理器420的其他输入/输出装置,包括但不限于键盘、鼠标、触控显示屏、遥控器等输入设备,以及包括但不限于打印机、扬声器等输出设备。In order to implement user interface and data exchange, in addition to the display 430, the medical device 400 may also include other input/output devices connected to the processor 420, including but not limited to input devices such as keyboards, mice, touch screens, and remote controls. , and output devices including but not limited to printers, speakers, etc.
应当理解的是,图4仅是医疗设备400包括的部件的示例,并不构成对医疗设备400的限定,且监控设备400可以包括比图4所示更多或更少的部件,或者组合某些部件,或者不同的部件,例如医疗设备400还可以包括电源模块、定位导航装置、打印装置等。It should be understood that FIG. 4 is only an example of components included in the medical device 400 and does not constitute a limitation on the medical device 400. The monitoring device 400 may include more or less components than those shown in FIG. 4, or a combination of certain components. Some components, or different components, such as the medical device 400 may also include a power module, a positioning and navigation device, a printing device, etc.
本申请实施例的医疗设备400用于实现上述的通气分析方法100,因而也具备类似的优点。The medical device 400 in the embodiment of the present application is used to implement the ventilation analysis method 100 mentioned above, and therefore also has similar advantages.
下面参照图2,本申请实施例另一方面提供了一种用于中央站的通气分析方法200,通气分析方法200与通气分析方法100大体上类似,不同之处在于通气分析方法100可以实现于多种医疗设备,而通气分析方法200专用于中央站。中央站可以与多种医疗设备互连,从而更便于从多种医疗设备获取通气相关信息;并且,中央站可以与多个呼吸机互连,从而为多个通气对象提供通气分析结果。如图2所示,通气分析方法200包括如下步骤:Referring to Figure 2 below, another aspect of the embodiment of the present application provides a ventilation analysis method 200 for a central station. The ventilation analysis method 200 is generally similar to the ventilation analysis method 100, except that the ventilation analysis method 100 can be implemented in A variety of medical devices, while the Ventilation Analysis Method 200 is dedicated to central stations. The central station can be interconnected with a variety of medical devices, making it easier to obtain ventilation-related information from a variety of medical devices; and the central station can be interconnected with multiple ventilators to provide ventilation analysis results for multiple ventilated objects. As shown in Figure 2, the ventilation analysis method 200 includes the following steps:
在步骤S210,从与中央站通信连接的通气设备和/或第三方设备获取通气对象的通气相关信息,通气相关信息至少包括所述通气对象的基本信息、医疗信息、生理数据和通气参数。该步骤具体可以参照通气分析方法100中的步骤S110。示例性地,中央站可以从为通气对象提供机械通气的通气设备获取通气参数;从与中央站通信连接的监护仪获取同一通气对象的生命体征参数;从临床信息系统提取通气对象的医疗信息和基本信息。In step S210, ventilation-related information of the ventilation object is obtained from the ventilation equipment and/or third-party equipment that is communicatively connected to the central station. The ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation object. For details of this step, reference may be made to step S110 in the ventilation analysis method 100 . For example, the central station can obtain ventilation parameters from a ventilation device that provides mechanical ventilation to a ventilated subject; obtain vital sign parameters of the same ventilated subject from a monitor that is communicatively connected to the central station; extract medical information of the ventilated subject from a clinical information system and Basic Information.
在步骤S220,将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式进行评估的评估结果。该步骤具体可以参照通气分析方法100中的步骤S120。不同之处在于,通气分析方法100的通气分析结果至少包括对当前通气方式进行评估得到的评估结果以及评估结果的影响因素,通气分析方法200可以仅包括对当前通气方式进行评估得到的评估结果。In step S220, the ventilation-related information is input into the ventilation analysis model to obtain ventilation analysis results corresponding to the current ventilation mode. The ventilation analysis results at least include evaluation results of the current ventilation mode. For details of this step, refer to step S120 in the ventilation analysis method 100 . The difference is that the ventilation analysis results of the ventilation analysis method 100 at least include the evaluation results obtained by evaluating the current ventilation mode and the influencing factors of the evaluation results, and the ventilation analysis method 200 may only include the evaluation results obtained by evaluating the current ventilation mode.
在步骤S230,将所述通气分析结果下发到所述通气设备和/或第三方设备。其中,该第三方设备可以是提供通气相关信息的第三方设备,也可以是其他的第三方设备。In step S230, the ventilation analysis result is sent to the ventilation device and/or a third-party device. The third-party device may be a third-party device that provides ventilation-related information, or may be another third-party device.
通气分析方法200通过通气分析模型、结合多种通气相关信息对当前采用的通气方式进行分析评估,能够给出客观准确的建议,辅助医生在有需要时及时切换通气方式。并且,通气分析方法200实现于中央站,更便于从多来源汇总通气对象的通气相关信息。通气分析方法200的更多具体细节可以参照通气分析方法100的相关描述,在此不做赘述。The ventilation analysis method 200 analyzes and evaluates the currently adopted ventilation method through a ventilation analysis model and a variety of ventilation-related information, and can give objective and accurate suggestions to assist doctors in timely switching ventilation methods when necessary. Furthermore, the ventilation analysis method 200 is implemented in a central station, which makes it easier to aggregate ventilation-related information on ventilation objects from multiple sources. For more specific details of the ventilation analysis method 200, please refer to the relevant description of the ventilation analysis method 100, and will not be described again here.
本申请实施例另一方面提供一种中央站,用于实现上述通气分析方法200。参见图5,中央站500包括存储器510、处理器520和通信单元530,存储器510上存储有由处理器520运行的计算机程序,计算机程序在被处理器520运行时执行通气分析方法200的步骤以得到通气分析结果,通信单元530用于将处理器520得到的通气分析结果下发到与中央站通信连接的通气设备,该通气设备用于为通气对象提供机械通气,通气分析结果为针对通气设备当前采用的通气方式的通气分析结果。中央站可以包括本地中央站或远程中央站。中央站通过网络将一个科室或多个科室内的监护设备和通气设备进行连接,以达到实时集中监护以及数据海量存储的目的。例如,中央站存储有监测数据、病人的基本信息、病史信息和诊断信息等,但不限于此。Another aspect of the embodiment of the present application provides a central station for implementing the above ventilation analysis method 200. Referring to Figure 5, the central station 500 includes a memory 510, a processor 520 and a communication unit 530. A computer program run by the processor 520 is stored on the memory 510. The computer program executes the steps of the ventilation analysis method 200 when run by the processor 520. The ventilation analysis results are obtained. The communication unit 530 is used to send the ventilation analysis results obtained by the processor 520 to the ventilation equipment that is communicatively connected to the central station. The ventilation equipment is used to provide mechanical ventilation for the ventilation object. The ventilation analysis results are for the ventilation equipment. Ventilation analysis results for currently used ventilation methods. Central stations may include local central stations or remote central stations. The central station connects the monitoring equipment and ventilation equipment in one department or multiple departments through the network to achieve the purpose of real-time centralized monitoring and massive data storage. For example, the central station stores monitoring data, basic patient information, medical history information, diagnostic information, etc., but is not limited to this.
参见图6,本申请实施例还提供一种医疗系统600,医疗系统600包括通 气设备610和中央站620。中央站620可以是如上所述的中央站500,用于执行通气分析方法100或通气分析方法200,以得到通气分析结果。通气设备610与中央站620通信连接,以接收并显示中央站620下发的通气分析结果。中央站620可以与多个通气设备610以及监护仪等其他设备通信连接。中央站620得到的通气分析结果也可以显示在中央站620自身的显示界面上。中央站620执行的通气分析方法的具体细节可以参照上文对通气分析方法100或通气分析方法200进行的相关描述,在此不做赘述。Referring to Figure 6, an embodiment of the present application also provides a medical system 600. The medical system 600 includes a ventilation device 610 and a central station 620. The central station 620 may be the central station 500 as described above, and is used to execute the ventilation analysis method 100 or the ventilation analysis method 200 to obtain ventilation analysis results. The ventilation equipment 610 is communicatively connected with the central station 620 to receive and display the ventilation analysis results sent by the central station 620. The central station 620 can be communicatively connected with multiple ventilation devices 610 and other devices such as monitors. The ventilation analysis results obtained by the central station 620 can also be displayed on the display interface of the central station 620 itself. For specific details of the ventilation analysis method performed by the central station 620, please refer to the relevant description of the ventilation analysis method 100 or the ventilation analysis method 200 above, and will not be described again here.
综上所述,根据本申请实施例的通气分析方法、医疗设备、中央站和医疗系统通过通气分析模型结合多种通气相关信息对当前采用的通气方式进行分析评估,能够即时给出客观准确的建议,辅助医生在有需要时及时切换通气方式。In summary, according to the ventilation analysis method, medical equipment, central station and medical system of the embodiments of the present application, the ventilation analysis model is combined with a variety of ventilation-related information to analyze and evaluate the currently adopted ventilation methods, and can provide objective and accurate results in real time. It is recommended that the assistant doctor switch the ventilation mode in time when necessary.
尽管这里已经参考附图描述了示例实施例,应理解上述示例实施例仅仅是示例性的,并且不意图将本申请的范围限制于此。本领域普通技术人员可以在其中进行各种改变和修改,而不偏离本申请的范围和精神。所有这些改变和修改意在被包括在所附权利要求所要求的本申请的范围之内。Although example embodiments have been described herein with reference to the accompanying drawings, it should be understood that the above-described example embodiments are exemplary only, and are not intended to limit the scope of the application thereby. Various changes and modifications can be made therein by those of ordinary skill in the art without departing from the scope and spirit of the present application. All such changes and modifications are intended to be included within the scope of the application as claimed in the appended claims.
本领域普通技术人员可以意识到,结合本文中所公开的实施例描述的各示例的单元及算法步骤,能够以电子硬件、或者计算机软件和电子硬件的结合来实现。这些功能究竟以硬件还是软件方式来执行,取决于技术方案的特定应用和设计约束条件。专业技术人员可以对每个特定的应用来使用不同方法来实现所描述的功能,但是这种实现不应认为超出本申请的范围。Those of ordinary skill in the art will appreciate that the units and algorithm steps of each example described in conjunction with the embodiments disclosed herein can be implemented with electronic hardware, or a combination of computer software and electronic hardware. Whether these functions are performed in hardware or software depends on the specific application and design constraints of the technical solution. Skilled artisans may implement the described functionality using different methods for each specific application, but such implementations should not be considered beyond the scope of this application.
在本申请所提供的几个实施例中,应该理解到,所揭露的设备和方法,可以通过其它的方式实现。例如,以上所描述的设备实施例仅仅是示意性的,例如,所述单元的划分,仅仅为一种逻辑功能划分,实际实现时可以有另外的划分方式,例如多个单元或组件可以结合或者可以集成到另一个设备,或一些特征可以忽略,或不执行。In the several embodiments provided in this application, it should be understood that the disclosed devices and methods can be implemented in other ways. For example, the device embodiments described above are only illustrative. For example, the division of the units is only a logical function division. In actual implementation, there may be other division methods. For example, multiple units or components may be combined or can be integrated into another device, or some features can be ignored, or not implemented.
在此处所提供的说明书中,说明了大量具体细节。然而,能够理解,本申请的实施例可以在没有这些具体细节的情况下实践。在一些实例中,并未详细示出公知的方法、结构和技术,以便不模糊对本说明书的理解。In the instructions provided here, a number of specific details are described. However, it is understood that embodiments of the present application may be practiced without these specific details. In some instances, well-known methods, structures, and techniques have not been shown in detail so as not to obscure the understanding of this description.
类似地,应当理解,为了精简本申请并帮助理解各个发明方面中的一个或多个,在对本申请的示例性实施例的描述中,本申请的各个特征有时被一起分组到单个实施例、图、或者对其的描述中。然而,并不应将该本申请的方法解释成反映如下意图:即所要求保护的本申请要求比在每个权利要求中 所明确记载的特征更多的特征。更确切地说,如相应的权利要求书所反映的那样,其发明点在于可以用少于某个公开的单个实施例的所有特征的特征来解决相应的技术问题。因此,遵循具体实施方式的权利要求书由此明确地并入该具体实施方式,其中每个权利要求本身都作为本申请的单独实施例。Similarly, it should be understood that in the description of the exemplary embodiments of the present application, in order to streamline the present application and aid in the understanding of one or more of the various inventive aspects, various features of the present application are sometimes grouped together into a single embodiment, FIG. , or in its description. This method of disclosure, however, is not to be interpreted as reflecting an intention that the claimed application requires more features than are expressly recited in each claim. Rather, as the corresponding claims reflect, the inventive concept lies in solving a corresponding technical problem with less than all features of a single disclosed embodiment. Thus, the claims following the Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment of this application.
本领域的技术人员可以理解,除了特征之间相互排斥之外,可以采用任何组合对本说明书(包括伴随的权利要求、摘要和附图)中公开的所有特征以及如此公开的任何方法或者设备的所有过程或单元进行组合。除非另外明确陈述,本说明书(包括伴随的权利要求、摘要和附图)中公开的每个特征可以由提供相同、等同或相似目的的替代特征来代替。It will be understood by those skilled in the art that all features disclosed in this specification (including the accompanying claims, abstract and drawings) and all features of any method or apparatus so disclosed may be used in any combination, except where the features are mutually exclusive. Processes or units are combined. Each feature disclosed in this specification (including accompanying claims, abstract and drawings) may be replaced by alternative features serving the same, equivalent or similar purpose, unless expressly stated otherwise.
此外,本领域的技术人员能够理解,尽管在此所述的一些实施例包括其它实施例中所包括的某些特征而不是其它特征,但是不同实施例的特征的组合意味着处于本申请的范围之内并且形成不同的实施例。例如,在权利要求书中,所要求保护的实施例的任意之一都可以以任意的组合方式来使用。Furthermore, those skilled in the art will understand that although some embodiments described herein include certain features included in other embodiments but not others, combinations of features of different embodiments are meant to be within the scope of the present application. within and form different embodiments. For example, in the claims, any of the claimed embodiments may be used in any combination.
本申请的各个部件实施例可以以硬件实现,或者以在一个或者多个处理器上运行的软件模块实现,或者以它们的组合实现。本领域的技术人员应当理解,可以在实践中使用微处理器或者数字信号处理器(DSP)来实现根据本申请实施例的一些模块的一些或者全部功能。本申请还可以实现为用于执行这里所描述的方法的一部分或者全部的装置程序(例如,计算机程序和计算机程序产品)。这样的实现本申请的程序可以存储在计算机可读介质上,或者可以具有一个或者多个信号的形式。这样的信号可以从因特网网站上下载得到,或者在载体信号上提供,或者以任何其他形式提供。Various component embodiments of the present application may be implemented in hardware, or in software modules running on one or more processors, or in a combination thereof. Those skilled in the art should understand that a microprocessor or a digital signal processor (DSP) may be used in practice to implement some or all functions of some modules according to embodiments of the present application. The present application may also be implemented as a device program (eg, computer program and computer program product) for performing part or all of the methods described herein. Such a program implementing the present application may be stored on a computer-readable medium, or may be in the form of one or more signals. Such signals may be downloaded from an Internet website, or provided on a carrier signal, or in any other form.
应该注意的是上述实施例对本申请进行说明而不是对本申请进行限制,并且本领域技术人员在不脱离所附权利要求的范围的情况下可设计出替换实施例。在权利要求中,不应将位于括号之间的任何参考符号构造成对权利要求的限制。本申请可以借助于包括有若干不同元件的硬件以及借助于适当编程的计算机来实现。在列举了若干装置的单元权利要求中,这些装置中的若干个可以是通过同一个硬件项来具体体现。单词第一、第二、以及第三等的使用不表示任何顺序。可将这些单词解释为名称。It should be noted that the above-mentioned embodiments illustrate rather than limit the application, and that those skilled in the art will be able to design alternative embodiments without departing from the scope of the appended claims. In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The application may be implemented by means of hardware comprising several different elements and by means of a suitably programmed computer. In the element claim enumerating several means, several of these means may be embodied by the same item of hardware. The use of the words first, second, third, etc. does not indicate any order. These words can be interpreted as names.
以上所述,仅为本申请的具体实施方式或对具体实施方式的说明,本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本申请的保护范围之内。 本申请的保护范围应以权利要求的保护范围为准。The above are only specific implementation modes or descriptions of specific implementation modes of the present application. The protection scope of the present application is not limited thereto. Any person familiar with the technical field can easily Any changes or substitutions that come to mind should be covered by the protection scope of this application. The protection scope of this application shall be subject to the protection scope of the claims.

Claims (25)

  1. 一种通气分析方法,其特征在于,包括:A ventilation analysis method, characterized by including:
    获取通气对象的通气相关信息,所述通气相关信息至少包括所述通气对象的基本信息、医疗信息、生理数据和通气参数;Obtaining ventilation-related information of the ventilation subject, the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation subject;
    将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式进行评估得到的评估结果以及所述评估结果的影响因素;Input the ventilation-related information into the ventilation analysis model to obtain the ventilation analysis results corresponding to the current ventilation mode. The ventilation analysis results at least include the evaluation results obtained by evaluating the current ventilation mode and the influencing factors of the evaluation results;
    输出所述通气分析结果。Output the ventilation analysis results.
  2. 一种通气分析方法,其特征在于,所述方法用于中央站,包括:A ventilation analysis method, characterized in that the method is used in a central station and includes:
    从与所述中央站通信连接的通气设备和/或第三方设备获取通气对象的通气相关信息,所述通气相关信息至少包括所述通气对象的基本信息、医疗信息、生理数据和通气参数;Obtain ventilation-related information of the ventilation object from the ventilation equipment and/or third-party equipment communicatively connected to the central station, where the ventilation-related information at least includes basic information, medical information, physiological data and ventilation parameters of the ventilation object;
    将所述通气相关信息输入到通气分析模型中,以得到当前通气方式对应的通气分析结果,所述通气分析结果至少包括对当前通气方式的评估结果;Input the ventilation-related information into the ventilation analysis model to obtain ventilation analysis results corresponding to the current ventilation mode, where the ventilation analysis results at least include evaluation results of the current ventilation mode;
    将所述通气分析结果下发到所述通气设备和/或第三方设备。Send the ventilation analysis results to the ventilation equipment and/or third-party equipment.
  3. 根据权利要求1所述的方法,其特征在于,所述影响因素包括所述评估结果的风险因素和/或有益因素。The method according to claim 1, wherein the influencing factors include risk factors and/or beneficial factors of the assessment results.
  4. 根据权利要求3所述的方法,其特征在于,所述风险因素包括导致当前通气方式失败的生理状态和/或病理状态,所述有益因素包括导致当前通气方式成功的生理状态和/或病理状态。The method according to claim 3, wherein the risk factors include physiological states and/or pathological states that lead to the failure of the current ventilation method, and the beneficial factors include physiological states and/or pathological states that lead to the success of the current ventilation method. .
  5. 根据权利要求3所述的方法,其特征在于,所述通气分析结果还包括所述风险因素和/或所述有益因素对所述评估结果的贡献度。The method according to claim 3, wherein the ventilation analysis results further include the contribution of the risk factors and/or the beneficial factors to the evaluation results.
  6. 如权利要求1或2所述的方法,其特征在于,所述当前通气方式包括高流量氧疗方式、无创通气方式或有创通气方式。The method according to claim 1 or 2, wherein the current ventilation mode includes a high-flow oxygen therapy mode, a non-invasive ventilation mode or an invasive ventilation mode.
  7. 根据权利要求1或2所述的方法,其特征在于,所述评估结果包括当前通气方式的失败概率或成功概率。The method according to claim 1 or 2, characterized in that the evaluation result includes the failure probability or success probability of the current ventilation mode.
  8. 根据权利要求1或2所述的方法,其特征在于,所述评估结果包括从当前通气方式撤机的失败概率或成功概率。The method according to claim 1 or 2, characterized in that the evaluation result includes a failure probability or a success probability of weaning from the current ventilation mode.
  9. 根据权利要求1或2所述的方法,其特征在于,所述当前通气方式为有创通气方式时,所述评估结果包括从当前通气方式拔管的失败概率或成功概率。The method according to claim 1 or 2, characterized in that when the current ventilation mode is an invasive ventilation mode, the evaluation result includes a failure probability or a success probability of extubation from the current ventilation mode.
  10. 根据权利要求1或2所述的方法,其特征在于,当所述对当前通气方式的评估结果不满足预设要求时,所述通气分析结果还包括推荐的通气方 式。The method according to claim 1 or 2, characterized in that when the evaluation result of the current ventilation mode does not meet the preset requirements, the ventilation analysis result also includes a recommended ventilation mode.
  11. 根据权利要求10所述的方法,其特征在于,所述通气分析结果还包括所述推荐的通气方式的推荐程度。The method according to claim 10, wherein the ventilation analysis result further includes the recommendation degree of the recommended ventilation mode.
  12. 根据权利要求10所述的方法,其特征在于,所述通气分析结果还包括采用所述推荐的通气方式进行通气的失败概率或成功概率。The method according to claim 10, wherein the ventilation analysis result further includes a failure probability or a success probability of ventilation using the recommended ventilation method.
  13. 根据权利要求10所述的方法,其特征在于,所述通气分析结果还包括从所述当前通气方式切换为所述推荐的通气方式的影响因素。The method according to claim 10, wherein the ventilation analysis results further include influencing factors of switching from the current ventilation mode to the recommended ventilation mode.
  14. 根据权利要求13所述的方法,其特征在于,所述影响因素包括导致通气方式切换失败的风险因素,和/或导致通气方式切换成功的有益因素。The method according to claim 13, wherein the influencing factors include risk factors that lead to failure of ventilation mode switching, and/or beneficial factors that lead to successful ventilation mode switching.
  15. 根据权利要求1或2所述的方法,其特征在于,所述通气分析结果还包括推荐采用的通气模式,所述通气模式包括机控模式、自主模式和复合模式。The method according to claim 1 or 2, characterized in that the ventilation analysis results also include recommended ventilation modes, and the ventilation modes include machine-controlled mode, autonomous mode and composite mode.
  16. 根据权利要求15所述的方法,其特征在于,还包括:The method according to claim 15, further comprising:
    将为所述通气对象提供通气的通气设备的通气模式自动设置为所述推荐采用的通气模式。The ventilation mode of the ventilation device providing ventilation to the ventilated subject is automatically set to the recommended ventilation mode.
  17. 如权利要求1或2所述的方法,其特征在于,所述基本信息包括所述通气对象的年龄、性别、身高和体重中的至少一项。The method according to claim 1 or 2, wherein the basic information includes at least one of the age, gender, height and weight of the ventilation subject.
  18. 根据权利要求1或2所述的方法,其特征在于,所述医疗信息包括以下至少一项:所述通气对象的诊断结果、既往病史、急性生理与慢性健康评分、序贯器官衰竭评分、意识状态、血管活性药物用量以及镇静评分。The method according to claim 1 or 2, characterized in that the medical information includes at least one of the following: diagnosis results of the ventilated subject, past medical history, acute physiology and chronic health score, sequential organ failure score, consciousness status, vasoactive medication dosage, and sedation score.
  19. 根据权利要求1或2所述的方法,其特征在于,所述生理数据包括以下至少一项:为所述通气对象提供通气的通气设备采集的反映所述通气对象自主呼吸努力的生理数据、通气设备采集的反映所述通气对象的呼吸系统状态的生理数据、与所述通气对象关联的监护设备采集的生命体征参数、以及所述通气对象的检验信息。The method according to claim 1 or 2, characterized in that the physiological data includes at least one of the following: physiological data collected by a ventilation device that provides ventilation for the ventilation subject and reflecting the spontaneous breathing effort of the ventilation subject, ventilation Physiological data collected by the equipment reflecting the respiratory system status of the ventilation subject, vital sign parameters collected by the monitoring equipment associated with the ventilation subject, and inspection information of the ventilation subject.
  20. 根据权利要求19所述的方法,其特征在于,所述生命体征参数包括以下至少一项:心率、呼吸频率、血压、经皮指脉氧饱和度、呼气末二氧化碳分压。The method according to claim 19, wherein the vital sign parameters include at least one of the following: heart rate, respiratory rate, blood pressure, transcutaneous finger pulse oxygen saturation, and end-tidal carbon dioxide partial pressure.
  21. 根据权利要求19所述的方法,其特征在于,所述检验信息包括以下至少一项:血常规结果、血气结果。The method according to claim 19, wherein the test information includes at least one of the following: blood routine results and blood gas results.
  22. 根据权利要求1所述的方法,其特征在于,所述通气参数包括以下至少一项:潮气量、呼吸率、呼气终末正压、吸入氧浓度。The method according to claim 1, wherein the ventilation parameters include at least one of the following: tidal volume, respiratory rate, positive end-expiratory pressure, and inspired oxygen concentration.
  23. 一种医疗设备,其特征在于,所述医疗设备包括存储器、处理器和 显示器,所述存储器上存储有由所述处理器运行的计算机程序,所述计算机程序在被所述处理器运行时执行权利要求1、3-22中任一项所述的通气分析方法的步骤,以得到通气分析结果,所述显示器用于显示所述通气分析结果。A medical device, characterized in that the medical device includes a memory, a processor and a display, and a computer program run by the processor is stored on the memory, and the computer program is executed when run by the processor. The steps of the ventilation analysis method according to any one of claims 1 and 3-22 are to obtain the ventilation analysis results, and the display is used to display the ventilation analysis results.
  24. 一种中央站,其特征在于,所述中央站包括存储器、处理器和通信单元,所述存储器上存储有由所述处理器运行的计算机程序,所述计算机程序在被所述处理器运行时执行权利要求2、6-22中任一项所述的通气分析方法的步骤以得到通气分析结果,所述通信单元用于将所述处理器得到的通气分析结果下发到与所述中央站通信连接的通气设备。A central station, characterized in that the central station includes a memory, a processor and a communication unit. The memory stores a computer program run by the processor. When the computer program is run by the processor Execute the steps of the ventilation analysis method according to any one of claims 2 and 6-22 to obtain ventilation analysis results, and the communication unit is used to send the ventilation analysis results obtained by the processor to the central station. Communication connected ventilation equipment.
  25. 一种医疗系统,其特征在于,所述医疗系统包括通气设备和如权利要求24所述的中央站,所述通气设备与所述中央站通信连接,以接收并显示所述中央站下发的所述通气分析结果。A medical system, characterized in that the medical system includes a ventilation device and a central station as claimed in claim 24, and the ventilation device is communicatively connected to the central station to receive and display information issued by the central station. The ventilation analysis results.
PCT/CN2022/096626 2022-06-01 2022-06-01 Ventilation analysis method, medical device, central station, and medical system WO2023230957A1 (en)

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