CN103463715A - Ventilator oxygen driven and atomized administration device - Google Patents

Ventilator oxygen driven and atomized administration device Download PDF

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CN103463715A
CN103463715A CN2013104437094A CN201310443709A CN103463715A CN 103463715 A CN103463715 A CN 103463715A CN 2013104437094 A CN2013104437094 A CN 2013104437094A CN 201310443709 A CN201310443709 A CN 201310443709A CN 103463715 A CN103463715 A CN 103463715A
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oxygen
ventilator
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万梅
孙文欣
高钿
郑文琦
卢菁
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Qingdao Municipal Hospital
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Abstract

本发明提供了一种呼吸机氧驱动雾化给药装置,包括无创呼吸机、氧驱动雾化装置,还包括无创呼吸机口鼻面罩和三通接头,所述三通接头包括第一接口、第二接口和与该三通接头一体连接的连接管,所述第一接口与所述氧驱动雾化装置的输出端连接,所述第二接口与所述无创呼吸机的吸气管道连接,所述连接管的自由端与所述无创呼吸机口鼻面罩下端连接;所述无创呼吸机的呼气管道与所述无创呼吸机口鼻面罩上端连接;所述氧驱动雾化装置的输入端连接有氧气表。本发明的氧驱动雾化装置与无创呼吸机联合应用,同时兼顾病人的呼吸和疗效,解决了现有技术无法兼顾患者的呼吸和局部给药的问题。

Figure 201310443709

The invention provides a ventilator oxygen-driven atomization drug delivery device, which includes a non-invasive ventilator, an oxygen-driven atomization device, a non-invasive ventilator mouth and nose mask and a three-way joint, and the three-way joint includes a first interface, The second interface and the connecting pipe integrally connected with the three-way joint, the first interface is connected to the output end of the oxygen-driven atomization device, the second interface is connected to the inspiratory pipeline of the non-invasive ventilator, The free end of the connecting pipe is connected to the lower end of the non-invasive ventilator mouth and nose mask; the exhalation pipeline of the non-invasive ventilator is connected to the upper end of the non-invasive ventilator mouth and nose mask; the input end of the oxygen-driven atomization device An oxygen meter is connected. The oxygen-driven atomization device of the present invention is used in combination with a non-invasive ventilator, taking into account the patient's breathing and curative effect at the same time, and solves the problem that the prior art cannot take into account the patient's breathing and local drug delivery.

Figure 201310443709

Description

呼吸机氧驱动雾化给药装置Ventilator Oxygen-Driven Nebulization Drug Delivery Device

技术领域technical field

本发明涉及医疗机械技术领域,具体涉及一种呼吸机氧驱动雾化给药装置。The invention relates to the technical field of medical machinery, in particular to an oxygen-driven atomized drug delivery device for a ventilator.

背景技术Background technique

氧气驱动雾化吸入是喷射式雾化吸入法的一种,药液量少,雾化时间短,可产生理想的气雾量和雾化微粒,增加气雾粒在肺内的沉降,以医用氧气为动力,可使微粒迅速播散到下呼吸道,与气道有广泛的接触面积,其作用直接。现有的雾化吸入方法是用口含住吸入器,经口吸气(药液)、经鼻呼气,对于慢性Ⅱ型呼吸衰竭的患者呼吸时气流经口腔出入的习惯,雾化吸入的方法是不适应的,在发病的急性期,不习惯的呼吸方法会增加患者的呼吸窘迫。再有,由于慢性Ⅱ型呼吸衰竭的患者呼吸状态为浅快型,无形中,高的呼吸频率及风流速增加了气道阻力,同时也增加了雾化药液在气道中弥散分布的阻力。而单纯的无创呼吸机辅助通气对于慢性Ⅱ型呼吸衰竭的患者来说,虽然可以缓解患者在急性期的不适与恐惧,避免由于慢性长期缺氧所导致的重要脏器的损伤,缓解高碳酸血症,同时达到使疲劳的呼吸肌得到充分休息的目的,但达不到消炎、祛痰、止喘等疗效。单纯的雾化吸入疗法和无创呼吸机辅助疗法,均不能兼顾患者呼吸和疗效的问题,目前也没有有效的医疗装置来解决此问题。Oxygen-driven nebulization inhalation is a kind of jet nebulization inhalation method, the amount of liquid medicine is small, the nebulization time is short, it can produce ideal aerosol volume and nebulized particles, and increase the settlement of aerosol particles in the lungs. Oxygen is the driving force, which can quickly spread the particles to the lower respiratory tract, and has a wide contact area with the airway, and its effect is direct. The existing atomization inhalation method is to hold the inhaler with the mouth, inhale through the mouth (medicine liquid), and exhale through the nose. The method is not suitable. In the acute stage of the onset, unaccustomed breathing methods will increase the patient's respiratory distress. In addition, because the respiratory state of patients with chronic type II respiratory failure is shallow and fast, the high respiratory rate and wind velocity increase the airway resistance virtually, and also increase the resistance of the nebulized drug liquid to diffuse and distribute in the airway. For patients with chronic type II respiratory failure, simple non-invasive ventilator-assisted ventilation can alleviate the discomfort and fear of patients in the acute stage, avoid damage to important organs caused by chronic long-term hypoxia, and relieve hypercapnia. symptoms, and at the same time achieve the purpose of fully resting the tired respiratory muscles, but cannot achieve the effects of anti-inflammatory, expectorant, and asthma-relieving. Simple nebulization inhalation therapy and non-invasive ventilator-assisted therapy cannot take into account the patient's breathing and curative effect problems, and there is currently no effective medical device to solve this problem.

发明内容Contents of the invention

本发明的目的在于提供一种呼吸机氧驱动雾化给药装置,以克服现有技术无法兼顾患者的呼吸和局部给药的缺陷。The purpose of the present invention is to provide an oxygen-driven nebulized drug delivery device for a ventilator, so as to overcome the defect that the prior art cannot take into account the patient's breathing and local drug delivery.

为了实现上述目的,本发明技术方案是:In order to achieve the above object, the technical scheme of the present invention is:

呼吸机氧驱动雾化给药装置,包括无创呼吸机、氧驱动雾化装置,还包括无创呼吸机口鼻面罩和三通接头,所述三通接头包括第一接口、第二接口和与该三通接头一体连接的连接管,所述第一接口与所述氧驱动雾化装置的输出端连接,所述第二接口与所述无创呼吸机的吸气管道连接,所述连接管的自由端与所述无创呼吸机口鼻面罩下端连接;所述无创呼吸机的呼气管道与所述无创呼吸机口鼻面罩上端连接;所述氧驱动雾化装置的输入端连接有氧气表。The ventilator oxygen-driven atomization drug delivery device includes a non-invasive ventilator, an oxygen-driven atomization device, and a non-invasive ventilator mouth and nose mask and a three-way joint. The three-way joint includes a first interface, a second interface and a connection with the A connecting tube integrally connected with a three-way joint, the first interface is connected to the output end of the oxygen-driven atomization device, the second interface is connected to the inspiratory pipeline of the non-invasive ventilator, and the connecting tube is free The end is connected with the lower end of the non-invasive ventilator oronasal mask; the exhalation pipeline of the non-invasive ventilator is connected with the upper end of the non-invasive ventilator oronasal mask; the input end of the oxygen-driven atomizing device is connected with an oxygen meter.

作为对上述技术方案的改进,所述呼气管道和吸气管道均为塑料波纹管。As an improvement to the above technical solution, both the exhalation pipeline and the inhalation pipeline are plastic bellows.

作为对上述技术方案的改进,所述氧驱动雾化装置为一次性氧驱动雾化装置。As an improvement to the above technical solution, the oxygen-driven atomizing device is a disposable oxygen-driven atomizing device.

作为对上述技术方案的改进,所述氧驱动雾化装置为氧气驱动雾化器。As an improvement to the above technical solution, the oxygen-driven atomization device is an oxygen-driven atomizer.

本发明与现有技术相比,具有如下优点:Compared with the prior art, the present invention has the following advantages:

1、本发明的氧驱动雾化装置与无创呼吸机联合应用,同时兼顾病人的呼吸和疗效,达到雾化吸入药液局部用药的目的,且不间断呼吸机对患者的支持治疗;缓解由于氧气驱动雾化器所需要的氧气流量给病人带来高碳酸血症的加重;1. The oxygen-driven atomization device of the present invention is used in combination with a non-invasive ventilator, while taking into account the patient's breathing and curative effect, to achieve the purpose of atomized inhalation of medicinal liquid for local administration, and the ventilator can support the treatment of the patient; The oxygen flow required to drive the nebulizer aggravates the patient's hypercapnia;

2、不脱离呼吸机的前提下,利用氧气雾化驱动器将药液经呼吸道给药,达到了药液量少、雾化时间短的效果,增加气雾粒在肺内的沉降,使微粒迅速播散到下呼吸道,与气道有广泛的接触面积,作用直接、局部用药;2. On the premise of not breaking away from the ventilator, the oxygen atomization driver is used to administer the liquid medicine through the respiratory tract, which achieves the effect of less liquid medicine and short atomization time, increases the settlement of aerosol particles in the lungs, and makes the particles rapidly It spreads to the lower respiratory tract, has a wide contact area with the airway, and has a direct effect and local application;

3、由于无创呼吸机压力的支持,患者呼吸肌得到了很好的支持,缓解了呼吸肌的疲劳,同时药液借助无创呼吸机的风速,达到了较深的支气管内,有效的发挥了药物的疗效,缓解了支气管的痉挛,干罗音明显减轻;患者由于呼吸机的代偿,使呼吸肌得到了充分的休息,能有力的进行咳痰;3. Due to the support of the pressure of the non-invasive ventilator, the patient's respiratory muscles are well supported, which relieves the fatigue of the respiratory muscles. At the same time, with the help of the wind speed of the non-invasive ventilator, the medicinal liquid reaches the deep bronchi, effectively exerting the drug. The curative effect relieves the bronchial spasm, and the dry rales are significantly reduced; due to the compensation of the ventilator, the patient's respiratory muscles have been fully rested, and they can effectively cough up sputum;

4、本发明的氧驱动雾化装置与无创呼吸机联合应用,增加了患者的依从性。4. The combined application of the oxygen-driven atomization device of the present invention and the non-invasive ventilator increases the patient's compliance.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术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发明的一些实施例,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 invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. For those skilled in the art, other drawings can also be obtained according to these drawings without any creative effort.

图1是本发明呼吸机氧驱动雾化给药装置的结构示意图。Fig. 1 is a schematic structural view of the oxygen-driven nebulized drug delivery device for a ventilator of the present invention.

图中:1.无创呼吸机,2.无创呼吸机口鼻面罩,3.三通接头,4.第一接口,5.第二接口,6.连接管,7.吸气管道,8.呼气管道,9.氧气表,10.氧气驱动雾化器。In the figure: 1. Non-invasive ventilator, 2. Non-invasive ventilator mouth and nose mask, 3. Tee connector, 4. First interface, 5. Second interface, 6. Connecting tube, 7. Inhalation pipe, 8. Exhalation Gas pipeline, 9. Oxygen meter, 10. Oxygen-driven atomizer.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

实施例1:Example 1:

由图1所示,呼吸机氧驱动雾化给药装置,包括无创呼吸机1、氧驱动雾化装置,还包括无创呼吸机口鼻面罩2和三通接头3,所述三通接头3包括第一接口4、第二接口5和与该三通接头3一体连接的连接管6,所述第一接口4与所述氧驱动雾化装置的输出端连接,所述第二接口5与所述无创呼吸机1的吸气管道7连接,所述连接管6的自由端与所述无创呼吸机口鼻面罩2下端连接,即患者口部位置;所述无创呼吸机1的呼气管道8与所述无创呼吸机口鼻面罩2上端连接,即患者鼻部位置;所述氧驱动雾化装置的输入端连接有氧气表9,便于观察氧流量,实时监测;患者呼吸时,管道内均为正压,是基于无创呼吸机1的支持;所述呼气管道8和吸气管道7均为塑料波纹管,具有较好的伸缩性,使用方便;所述氧驱动雾化装置为一次性氧驱动雾化装置,避免交叉感染,所述氧驱动雾化装置为氧气驱动雾化器10,A端连接氧源。As shown in Figure 1, the ventilator oxygen-driven atomization drug delivery device includes a non-invasive ventilator 1, an oxygen-driven atomization device, a non-invasive ventilator mouth and nose mask 2 and a three-way joint 3, and the three-way joint 3 includes The first interface 4, the second interface 5 and the connection pipe 6 integrally connected with the tee joint 3, the first interface 4 is connected with the output end of the oxygen-driven atomization device, the second interface 5 is connected with the The inspiratory pipeline 7 of the noninvasive ventilator 1 is connected, and the free end of the connecting tube 6 is connected with the lower end of the mouth and nose mask 2 of the noninvasive ventilator, that is, the position of the patient's mouth; the expiratory pipeline 8 of the noninvasive ventilator 1 It is connected to the upper end of the mouth and nose mask 2 of the non-invasive ventilator, that is, the position of the patient's nose; the input end of the oxygen-driven atomization device is connected to an oxygen meter 9, which is convenient for observing the oxygen flow rate and monitoring in real time; It is a positive pressure, based on the support of the non-invasive ventilator 1; the exhalation pipeline 8 and the inhalation pipeline 7 are plastic bellows, which have good flexibility and are easy to use; the oxygen-driven atomization device is a disposable The oxygen-driven atomizing device avoids cross-infection. The oxygen-driven atomizing device is an oxygen-driven atomizer 10, and the A terminal is connected to an oxygen source.

本发明装置在使用时,设置无创呼吸机1的参数,给予患者持续气道正压12cmH20,呼气末正压4cmH20;根据患者病情在所述氧气驱动雾化器10中配好药液,打开氧源,调节氧流量,使氧气表显示流量至6~8L/min,氧气驱动雾化器10供给患者的氧浓度为21%,与空气中的氧浓度一致;将所述无创呼吸机口鼻面罩2套在患者面部,每次治疗时间为15~20min。一套雾化器只供一位病人使用,每次用后都给与病人含氯消毒剂消毒,避免交叉感染;使用后给与病人2.5%的碳酸氢钠口腔护理,以免口腔真菌感染。氧气驱动雾化吸入联合呼吸机辅助通气让药液在气管内局部起效,适应了呼吸科几乎所有需要雾化吸入治疗的病人,不论患者呼吸肌是否疲劳,呼吸机的压力支持都可以帮助药液达到支气管内,拓宽了氧驱动雾化吸入适应症的广度;病人在呼吸机的帮助下,有效的缓解了呼吸肌的疲劳,可将被稀释的痰液有效的咳出,减少了痰液堵塞引起的不适,同时药液可更好的作用于局部,使慢性呼吸衰竭的患者局部、全身的联合用药达到了同步,缩短了病程;氧气驱动雾化吸入联合呼吸机辅助通气,没有间断呼吸机的治疗,使药液的局部用药与呼吸机治疗不相冲突,二者相辅相成。氧气驱动雾化吸入联合呼吸机辅助呼吸的雾化方式尤其适合顽固性支气管痉挛导致脱呼吸机困难病人,可减少全身激素的用量,达到治疗的目的,值得临床应用和推广。When the device of the present invention is in use, set the parameters of the non-invasive ventilator 1, give the patient a continuous positive airway pressure of 12 cmH20, and a positive end-expiratory pressure of 4 cmH20; prepare a medicinal solution in the oxygen-driven nebulizer 10 according to the patient's condition, and open the Oxygen source, adjust the oxygen flow rate, make the oxygen meter display flow rate to 6 ~ 8L/min, the oxygen concentration supplied to the patient by the oxygen driven nebulizer 10 is 21%, consistent with the oxygen concentration in the air; put the mouth and nose of the noninvasive ventilator Two sets of masks are placed on the patient's face, and the treatment time is 15-20 minutes each time. A set of nebulizers is only for one patient. After each use, the patient is disinfected with chlorine-containing disinfectant to avoid cross-infection; after use, the patient is given oral care with 2.5% sodium bicarbonate to avoid oral fungal infection. Oxygen-driven atomized inhalation combined with ventilator-assisted ventilation allows the liquid to take effect locally in the trachea, which is suitable for almost all patients in the respiratory department who need atomized inhalation therapy. Regardless of whether the patient’s respiratory muscles are fatigued, the pressure support of the ventilator can help the drug The liquid reaches the bronchi, broadening the scope of indications for oxygen-driven atomized inhalation; with the help of the ventilator, the patient can effectively relieve the fatigue of the respiratory muscles, effectively cough up the diluted sputum, and reduce the sputum Discomfort caused by blockage, at the same time, the drug solution can be better applied to the local area, so that the combination of local and systemic drugs can be synchronized in patients with chronic respiratory failure, shortening the course of the disease; oxygen-driven atomization inhalation combined with ventilator-assisted ventilation, without intermittent breathing The treatment of the ventilator, so that the topical application of the liquid medicine and the ventilator treatment do not conflict, and the two complement each other. The atomization method of oxygen-driven atomization inhalation combined with ventilator-assisted breathing is especially suitable for patients with difficulty in taking off the ventilator due to intractable bronchospasm. It can reduce the dosage of systemic hormones and achieve the purpose of treatment. It is worthy of clinical application and promotion.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (4)

1. a respirator oxygen drives atomized medicine introducing device, comprise that noninvasive ventilator, oxygen drive atomising device, it is characterized in that: also comprise Non-invasive breathing machine oral-nasal mask and three way cock, described three way cock comprises first interface, the second interface and the connection tube be connected with this three way cock's one, described first interface drives the outfan of atomising device to be connected with described oxygen, described the second interface is connected with the aspirating air pipe of described noninvasive ventilator, and the free end of described connection tube is connected with described Non-invasive breathing machine oral-nasal mask lower end; The expiration pipeline of described noninvasive ventilator is connected with described Non-invasive breathing machine oral-nasal mask upper end; Described oxygen drives the input of atomising device to be connected with oxygen gauge.
2. respirator oxygen as claimed in claim 1 drives atomized medicine introducing device, and it is characterized in that: described expiration pipeline and aspirating air pipe are plastic film capicitor.
3. respirator oxygen as claimed in claim 1 or 2 drives atomized medicine introducing device, it is characterized in that: it is that disposable oxygen drives atomising device that described oxygen drives atomising device.
4. respirator oxygen as claimed in claim 3 drives atomized medicine introducing device, it is characterized in that: it is oxygen atomizer that described oxygen drives atomising device.
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CN103446340A (en) * 2013-09-17 2013-12-18 北京利千秋科技发展有限公司 Pharmaceutical composition for preventing birth defects and improving memory
CN103480069A (en) * 2013-09-27 2014-01-01 青岛市市立医院 Respirator oxygen drive aerosolization device
CN105688315A (en) * 2016-01-14 2016-06-22 杨媛媛 Atomization respirator
CN115738002A (en) * 2022-10-18 2023-03-07 复旦大学附属中山医院 Autogenous cutting patient's mechanical ventilation unit based on BiPAP breathing machine

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CN202236767U (en) * 2011-08-05 2012-05-30 成都康华医疗科技有限公司 Disposable medical special three-way pipe for atomization

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Application publication date: 20131225