A kind of intelligent control expectoration device
Technical field
The present invention relates to medical instruments field, particularly relate to a kind of intelligent control expectoration device.
Background technology
For keeping long-term bedridden patients, Lung operation Patients Before And After, Patients with Chronic Obstructive Pulmonary Disease, pulmonary carcinoma, asthma etc. to suffer from
The respiratory passage unblocked of person, often need to use buckle back method, to vibrate sputum so that it is be prone to discharge.The artificial buckle back method of the most general employing
Or lung vibroscope, there is the defect being difficult to select to be suitable to individual patients vibration force in both of which.But, buckle back or the strength of vibration
Directly influence Arterial blood gas, as strength is too small, then do not have the effect of vibration expectorant bolt, cause expectoration the most smooth;As strength is excessive,
Patient then can be caused uncomfortable or pain, it is also possible to cause Local tissue damage, heart rate and blood pressure generation cataclysm.
Therefore, it is badly in need of developing a kind of button that can carry out individualized adjustment according to patient's thorax anteroposterior diameter and the breathing degree of being obstructed
Back of the body mattress, to meet the expectoration demand of sickbed patients.
Summary of the invention
(1) to solve the technical problem that and be to provide a kind of buckle back expectoration dress can being adjusted according to patient's practical situation
Put and method, to meet the expectoration demand of sickbed patients.
An object of the present invention is to propose a kind of intelligent control expectoration device;The two of the purpose of the present invention are to propose one
Intelligent control Row of phlegm method.
(2) technical scheme
An object of the present invention is achieved through the following technical solutions:
The intelligent control expectoration device that the present invention provides, including bedstead and the mattress being arranged on bedstead, also includes:
The cover plate moved to direction, middle part along mattress one end being arranged on mattress;
The translating bracket being arranged on cover plate;
The guide rail being arranged on translating bracket;
It is arranged on guide rail the buckle back mechanism for completing to tunk action moved along guide rail;
Be arranged in buckle back mechanism for driving buckle back mechanism buckle back position adjusting mechanism of movement on guide rail;
Tunk dynamics control signal for sending to buckle back mechanism, send to buckle back position adjusting mechanism and tunk position control
The buckle back controlling organization of signal.
Further, described buckle back mechanism includes buckle back groove, buckle back pad, power set and buckle back spoon;
Described buckle back groove coordinates with slide;
Described buckle back groove is arranged on buckle back pad;
On described buckle back pad, power set are set;
Described buckle back spoon is installed on power set, and generation tunks action under the driving of power set.
Further, described buckle back position adjusting mechanism includes the first motor and the second motor;
Described first motor, is fixed on buckle back pad, for controlling buckle back spoon running orbit in guide rail;
Described second motor, is fixed on cover plate, for controlling translating bracket position on the cover board;
Being provided with gear in the rotary shaft of described first motor, described gear engages with the tooth bar being arranged on buckle back pad;
Being provided with gear in the rotary shaft of described second motor, described gear is nibbled with the tooth bar being arranged on translating bracket
Close.
Further, described buckle back controlling organization includes control station and controls processor, and described control station is by the signal preset
Processing mode sends control command to controlling processor, and described control processor is used for:
Receive control command and produce the signal of telecommunication controlling electromagnetic valve;
Receive control command and produce control the first motor, the signal of telecommunication of the second motor.
Further, described power set include that air pump, Air-regulating valves and cylinder, described air pump are arranged on buckle back pad, described
Air pump is connected with cylinder air inlet by Air-regulating valves, and the electromagnetic valve that described Air-regulating valves controls by controlling processor controls to flow into gas
The throughput of cylinder.
Further, dynamics control signal is tunked described in through the following steps that produce:
S1: gather patient thorax anteroposterior diameter X1, thoracic kyphosis radian X2, constitutional index X3, bone density X4And by following public affairs
Formula calculates thorax strength conduction reduction degree-dependent variable YA, by YAJourney is cut down as the strength from body back conduction to thoracic wall
Degree;Thus obtain representing dependent variable and independent variable X1、X2、X3And X4Quantitative relation expression formula as follows:
Represent YAEstimated value, b0For the intercept in constant term, i.e. regression equation, b1、b2、b3And b4For partial regression system
Number;
S2: obtain patient expiration's air velocity X by pneumatic sensor, and calculate airway obstruction degree as follows
Wherein, a represents that intercept, b represent regression coefficient;
S3: cut down degree and air flue degree of congestion according to strength and calculate buckle back strength as follows:
Wherein, 1 represents the power putting on back,The power that expression is cut down to thoracic wall from back:
α is that the strength of patient cuts down degree weights;
β is the airway obstruction degree weights of patient;
S4: the dynamics that the tunks control signal of buckle back mechanism is set according to buckle back strength.
Further, described predetermined trajectory uses rail plate;Described buckle back spoon uses stainless steel to make, described buckle back
The edge of spoon is obtuse.
The two of the purpose of the present invention are achieved through the following technical solutions:
The intelligent control Row of phlegm method that the present invention provides, comprises the following steps:
1) arranging and tunking the time every time is T minute, tunks frequency and is F beat/min;
2) patient thorax anteroposterior diameter X is gathered1, thoracic kyphosis radian X2, constitutional index X3, bone density X4And by following public affairs
Formula calculates thorax strength conduction reduction degree dependent variable YA, by YACut down as the strength from body back conduction to thoracic wall
Degree;Thus obtain representing dependent variable and independent variable X1、X2、X3And X4Quantitative relation expression formula as follows:
Represent YAEstimated value, b0For the intercept in constant term, i.e. regression equation, b1、b2、b3And b4For partial regression system
Number;
3) obtain patient expiration's air velocity X by pneumatic sensor, and calculate airway obstruction degree as follows
Wherein, a represents that intercept, b represent regression coefficient;
4) cut down degree and air flue degree of congestion according to strength and calculate buckle back strength as follows:
Wherein, 1 represents the power putting on back,The power that expression is cut down to thoracic wall from back:
α is that the strength of patient cuts down degree weights;
β is the airway obstruction degree weights of patient;
5) snap-fastener back strength amount arranges the dynamics control signal of buckle back mechanism;
6) buckle back mechanism is driven to tunk position to be tunked by dynamics control signal;
7) presetting running orbit according to buckle back mechanism drives buckle back mechanism to run on predetermined trajectory;
8) until tunking process and terminating.
Further, the operation of described buckle back mechanism is to be adjusted by buckle back position adjusting mechanism;Described buckle back machine
Structure includes buckle back groove, buckle back pad, power set and buckle back spoon;Described buckle back groove coordinates with slide;Described buckle back groove is arranged
On buckle back pad;On described buckle back pad, power set are set;Described buckle back spoon is installed on power set and at power set
Lower generation is driven to tunk action;
Described buckle back position adjusting mechanism includes the first motor and the second motor;Described first motor, is fixed on buckle back pad
On, for controlling buckle back spoon running orbit in guide rail;Described second motor, is fixed on cover plate, is used for controlling translation
Frame position on the cover board;Be provided with gear in the rotary shaft of described first motor, described gear be arranged on buckle back pad
Tooth bar engages;Being provided with gear in the rotary shaft of described second motor, described gear is nibbled with the tooth bar being arranged on translating bracket
Close.
(3) beneficial effect
Compared with prior art and product, the present invention has the following advantages:
The present invention calculates patient's buckle back strength according to patient's thorax anteroposterior diameter and the breathing degree of being obstructed, thus drives buckle back
Device carries out individuation buckle back action, meets the expectoration demand of sickbed patients;Improve the Arterial blood gas of buckle back or vibration, row
Expectorant is unobstructed;Patient comfort.
Accompanying drawing explanation
Fig. 1 is the buckle back structural scheme of mechanism that the present invention provides;
Fig. 2 is the buckle back position adjusting mechanism schematic diagram that the present invention provides;
Fig. 3 is the intelligent control expectoration mattress construction schematic diagram of the present invention;
Fig. 4 is slide block and the sliding rail structure schematic diagram of the present invention;
Fig. 5 is buckle back mechanism and the Principles of Regulation block diagram of the present invention;
Fig. 6 is two degree of freedom running orbit schematic diagrams of the buckle back mechanism of the present invention.
In figure, buckle back mechanism 1, buckle back position adjusting mechanism 2, guide rail 3;Buckle back pad 11, buckle back groove 12, buckle back spoon 13, gas
Cylinder the 14, first motor the 21, second motor 22, gear 23, tooth bar 24, cover plate 25, translating bracket 26.
Detailed description of the invention
Understand and implement the present invention for the ease of those of ordinary skill in the art, below in conjunction with the accompanying drawings and detailed description of the invention
The present invention is described in further detail.
Embodiment 1
As Figure 1-3, a kind of intelligent control expectoration device that the present embodiment provides, including bedstead and being arranged on bedstead
Mattress, also include:
The cover plate 25 moved to direction, middle part along mattress one end being arranged on mattress;
The translating bracket 26 being arranged on cover plate;
The guide rail 3 being arranged on translating bracket;
It is arranged on guide rail the buckle back mechanism 1 for completing to tunk action moved along guide rail;
Be arranged in buckle back mechanism for driving buckle back mechanism buckle back position adjusting mechanism 2 of movement on guide rail;
For send to buckle back mechanism 1 tunk dynamics control signal, send to buckle back position adjusting mechanism 2 tunk position control
The buckle back controlling organization of signal processed.
Described buckle back mechanism includes buckle back groove 12, buckle back pad 11, power set and buckle back spoon 13;
Described buckle back groove 12 is slidably matched with guide rail 3;
Described buckle back groove 12 is arranged on buckle back pad 11;
On described buckle back pad 11, power set are set;
Described buckle back spoon 13 is installed on power set and produces under the driving of power set and tunks action.
Described buckle back position adjusting mechanism 2 includes the first motor 21 and the second motor 22;
Described first motor 21, is fixed on buckle back pad 11, for controlling the buckle back spoon 13 running orbit in guide rail 3;
Described second motor 22, is fixed on cover plate 25, for controlling the translating bracket 26 position on cover plate 25;
Gear 13, described gear 23 and the tooth being arranged on buckle back pad 11 it is provided with in the rotary shaft of described first motor 21
Bar 24 engages;
Being provided with gear in the rotary shaft of described second motor 22, described gear is nibbled with the tooth bar being arranged on translating bracket
Close.
Described buckle back controlling organization includes control station and controls processor, and described control station is by the signal processing mode preset
Sending control command to controlling processor, described control processor is used for:
Receive control command and produce the signal of telecommunication controlling electromagnetic valve;
Receive control command and produce the signal of telecommunication controlling first motor the 21, second motor 22.
Described power set include air pump, Air-regulating valves and cylinder 14, and described air pump arranges on buckle back pad, and described air pump passes through
Air-regulating valves is connected with cylinder air inlet, and the electromagnetic valve that described Air-regulating valves controls by controlling processor controls to flow into the air-flow of cylinder
Amount.
Described tunk dynamics control signal through the following steps that produce:
S1: gather patient thorax anteroposterior diameter X1, thoracic kyphosis radian X2, constitutional index X3, bone density X4And by following public affairs
Formula calculates thorax strength conduction reduction degree one dependent variable YA, by YAJourney is cut down as the strength from body back conduction to thoracic wall
Degree (%);Thus obtain representing dependent variable and independent variable X1、X2、X3And X4Quantitative relation expression formula as follows:
Represent YAEstimated value, b0For the intercept in constant term, i.e. regression equation, b1、b2、b3And b4For partial regression system
Number;Now with b1As a example by, b1Represent at other independent variables b2、b3And b4When keeping constant, X1、X2、X3、X4A list is increased or decreased
Y during positionAMean change amount.
B0=92.574 in the present embodiment;B1=6.495;B2=0.78;B3=0.45;B4=0.001;
S2: obtain patient expiration's air velocity X by pneumatic sensor, and calculate airway obstruction degree as follows
Wherein, a represents that intercept, b represent regression coefficient;
A=27.723 in the present embodiment, b=0.181;
S3: cut down degree and air flue degree of congestion according to strength and calculate buckle back strength as follows:
Wherein, 1 represents the power putting on back;
α is that the strength of patient cuts down degree weights;
β is the airway obstruction degree weights of patient;
S4: the dynamics that the tunks control signal of buckle back mechanism is set according to buckle back strength.
Described predetermined trajectory uses rail plate;Described buckle back spoon uses stainless steel to make, the limit of described buckle back spoon
Edge is obtuse.
Fig. 6 is two degree of freedom running orbit schematic diagrams of the buckle back mechanism of the present invention, the buckle back machine that the present embodiment provides
Structure moves upward two degree of freedom sides under the control action of two motors, and a Ge Shi buckle back mechanism itself moves in orbit
Dynamic, one is that track can also change position, and the first motor is for controlling the moving direction of buckle back mechanism, and the second motor is used for controlling
The position of track processed;Two such motor just can regulate the plane coordinates position of buckle back mechanism;Patient's different parts is carried out
Tunk.
The present embodiment additionally provides a kind of intelligent control Row of phlegm method, comprises the following steps:
1) arranging and tunking the time every time is T minute, tunks frequency and is F beat/min;
2) patient thorax anteroposterior diameter X is gathered1, thoracic kyphosis X2, constitutional index X3, bone density X4And by below equation meter
Calculate thorax strength conduction reduction degree-dependent variable YA, by YADegree is cut down as the strength from body back conduction to thoracic wall;From
And obtain representing dependent variable and independent variable X1、X2、X3And X4Quantitative relation expression formula as follows:
Represent YAEstimated value, b0For the intercept in constant term, i.e. regression equation, b1、b2、b3And b4For partial regression system
Number;
3) obtain patient expiration's air velocity X by pneumatic sensor, and calculate airway obstruction degree as follows
Wherein, a represents that intercept, b represent regression coefficient;
4) cut down degree and air flue degree of congestion according to strength and calculate buckle back strength as follows:
Wherein, 1 represents the power putting on back;
α is that the strength of patient cuts down degree weights;
β is the airway obstruction degree weights of patient;
5) snap-fastener back strength amount arranges the dynamics control signal of buckle back mechanism;
6) buckle back mechanism is driven to tunk position to be tunked by dynamics control signal;
7) presetting running orbit according to buckle back mechanism drives buckle back mechanism to run on predetermined trajectory;
8) until tunking process and terminating.
The operation of described buckle back mechanism is to be adjusted by buckle back position adjusting mechanism;Described buckle back mechanism includes button
Back-trough, buckle back pad, power set and buckle back spoon;Described buckle back groove coordinates with slide;Described buckle back groove is arranged at buckle back pad
On;On described buckle back pad, power set are set;Described buckle back spoon is installed on power set, and produces under the driving of power set
Life tunks action;
Described buckle back position adjusting mechanism includes the first motor and the second motor;Described first motor, is fixed on buckle back pad
On, for controlling buckle back spoon running orbit in guide rail;Described second motor, is fixed on cover plate, is used for controlling translation
Frame position on the cover board;Be provided with gear in the rotary shaft of described first motor, described gear be arranged on buckle back pad
Tooth bar engages;Being provided with gear in the rotary shaft of described second motor, described gear is nibbled with the tooth bar being arranged on translating bracket
Close.
The control station of the present embodiment can use computer to realize, it would however also be possible to employ single-chip microcomputer realizes the control of control station
Function processed.
As it is shown in figure 5, Tu5Shi buckle back mechanism and Principles of Regulation block diagram;Control processor and control the first motor and the respectively
The driver of two motors, the first motor driver is buckle back motor driver, for driving the rotation of buckle back motor to realize button
Carry on the back mechanism on buckle back groove i.e. rail plate according to being actually needed the operation time and speed arranging motor;Second motor drives
Device is orbit motor driver, for driving the movement of track, by arranging the tooth bar in buckle back mechanism and the second electric machine rotation
On axle, the cooperation of tooth sector realizes.
The control processor of the present embodiment also controls electromagnetic valve and realizes regulating the control of valve.
Described control station is arranged on buckle back pad, for sending control command to control processor;
Described control processor is used for receiving control command, processes by default signal processing mode, and produces use
In controlling electromagnetic valve and the order of Air-regulating valves.
The buckle back mechanism that the present embodiment provides uses pneumatic gearing, and the mechanism of its pneumatic gearing is as follows:
By air pump, compressed gas is transferred to cylinder;The pipeline connecting path of air pump and cylinder arranges Air-regulating valves
Controlling air velocity, the regulation of Air-regulating valves opens and closes under the control of electromagnetic valve, the air velocity of Air-regulating valves and button
Hitting force corresponding, tunk force big, the air velocity that Air-regulating valves controls is big, and air-flow promotes the strength of cylinder greatly, thus
Piston produces to tunk strength big.
Embodiment 2
The time that every time the tunks general value that the present embodiment provides is 10-15 minute, tunks frequency and is 60-80 beat/min.
The thorax strength conduction reduction degree that the present embodiment providesIt is by gathering patient thorax anteroposterior diameter X1, after thoracic vertebra
Convex X2, constitutional index X3, bone density X4;Use sample size n to be independent variable 5 times, i.e. 20.Independent variable as shown in table 1 and should
Variable value table;
Table 1 independent variable and dependent variable numerical value
By above-mentioned data are analyzed, use the Model Summary multiple linear regression equations model to matching
Judge, i.e. with multiple correlation coefficient (R) and the coefficient of determination (R2) evaluate.This example R=0.980, R2=0.961, illustrate Y is intended
Conjunction includes (X1、X2、X3、X4) equation of linear regression, total inequality quadratic sum of Y can be by (X1、X2、X3、X4) explain 96.1%.
Using ANOVA method, the multiple linear regression equations of matching is made significance test by user's difference analysis.This example warp
F significance test, F=91.922, P=0.000, the i.e. multiple linear regression equations of institute's matching are statistically significant.
Use Coefficients parameter estimation, from standard regression coefficient Beta, 4 independent variable correspondence variable Y
Impact, is followed successively by thorax anteroposterior diameter, thoracic kyphosis radian, constitutional index, bone density from big to small.
Embodiment 3
The buckle back strength determiner two that the present embodiment provides is expiratory airflow speed, by utilizing pneumatic sensor to monitor
Obtaining, sensor one end is connected to computer, one end is connected on the rhinobyon type Oxygen uptaking catheter device of patient.Pneumatic sensor
Patient expiration's flow velocity can be monitored, and judge its airway obstruction degree according to change in flow, and these data are conducted to computer.
Owing to airway obstruction degree is a kind of subjective sensation, thus consideration Ocular measure measures, and (1-10 divides, and is worth the biggest
Represent more to block and feel the most obvious), exhalation flow rate then measures with pneumatic sensor.It is now assumed that exhalation flow rate is independent variable X, air flue hinders
Plug degree is dependent variable Y.Then calculating according to table 2, table 2 is the relation of exhalation flow rate and respiratory obstruction degree (visual evaluation yardstick)
Table.
Table 2
Exhalation flow rate (L/min) |
Visual evaluation yardstick |
117 |
9 |
119 |
7 |
120 |
6 |
120 |
6 |
120 |
6 |
123 |
5 |
123 |
5 |
125 |
4 |
125 |
4 |
133 |
3 |
135 |
3 |
136 |
3 |
139 |
2 |
141 |
2 |
144 |
2 |
145 |
1 |
147 |
1 |
150 |
1 |
151 |
1 |
152 |
1 |
Sample size n=20, calculates according to data above, calculates correlation coefficient r=-0.941 (height correlation), represents both
In negative correlation, i.e. exhalation flow rate is the fastest, and respiratory obstruction degree is the lightest.Then derive regression equation.Obtain regression coefficient b=-
0.181, intercept a=27.723, i.e. the respiratory obstruction degree regression equation to exhalation flow rate.Therefore pneumatic sensor institute will be utilized
The exhalation flow rate result input computer recorded, utilizes regression equation calculation to go out patient respiratory degree of congestion.
Above example is only one embodiment of the present invention, and it describes more concrete and in detail, but can not therefore and
It is interpreted as the restriction to the scope of the claims of the present invention.Its concrete structure and size can be adjusted correspondingly according to actual needs.Should
When it is noted that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, it is also possible to make
Some deformation and improvement, these broadly fall into protection scope of the present invention.