CN105194776B - A kind of lung ventilator air flue compress control method - Google Patents

A kind of lung ventilator air flue compress control method Download PDF

Info

Publication number
CN105194776B
CN105194776B CN201510540448.7A CN201510540448A CN105194776B CN 105194776 B CN105194776 B CN 105194776B CN 201510540448 A CN201510540448 A CN 201510540448A CN 105194776 B CN105194776 B CN 105194776B
Authority
CN
China
Prior art keywords
processing unit
airway pressure
pressure
value
control
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201510540448.7A
Other languages
Chinese (zh)
Other versions
CN105194776A (en
Inventor
廖妍
何思桥
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chongqing Technology and Business Institute
Original Assignee
Chongqing Technology and Business Institute
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chongqing Technology and Business Institute filed Critical Chongqing Technology and Business Institute
Priority to CN201510540448.7A priority Critical patent/CN105194776B/en
Publication of CN105194776A publication Critical patent/CN105194776A/en
Application granted granted Critical
Publication of CN105194776B publication Critical patent/CN105194776B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Respiratory Apparatuses And Protective Means (AREA)
  • Control Of Fluid Pressure (AREA)

Abstract

The invention discloses a kind of lung ventilator air flue compress control method, it is related to automation control area, the airway pressure of collection is compensated according to the airway pressure force value collected and airway pressure variation tendency by dynamic, lung ventilator is enabled accurately to prejudge airway pressure regulated quantity, to carry out the regulation of adaptability to patient respiration pipeline air pressure, the stability of patient respiration pipeline pressure control is improved, ensure that adaptability of this airway pressure control method in different use environments.

Description

A kind of lung ventilator air flue compress control method
Technical field
The present invention relates to automation control area, more particularly to a kind of lung ventilator air flue compress control method.
Background technology
PEEP valves are end-expiratory positive pressure valve, are mainly used in lung ventilator, so that the patient that there is lesion in lung is exhaled Inhale ventilation.In end-tidal airway open, airway pressure is still kept above atmospheric pressure, to prevent alveolar collapse from collapsing.Work as PEEP It is abnormal and when increasing, patient exhale needed for acting increase and cause expiratory dyspnea, asphyxiation hazard and work of breathing increase may be caused. At present, the mechanical end-expiratory positive pressure control mode of Use of respirator, it is impossible to accurately control it to exhale last pressure and end-expiratory positive pressure Can not continuously adjustabe, safety coefficient deficiency, while air consumption is high.
The operation principle of PEEP valves is the size by adjusting electric current, to control the Opening pressure of diaphragm.This valve it is excellent Point is that the linearity is relatively good.Current common application method is, first by test, to calibrate diaphragm corresponding to each current point Opening pressure, obtain the corresponding table of pressure and electric current.Then according to the pressure for it is expected to obtain, table look-up and find corresponding electric current Value, desired PEEP pressure is obtained by given electric current.Existing lung ventilator enters according to the airway pressure data collected simultaneously Row control, and substantially the data of collection are not handled, cause the voltage-controlled of lung ventilator delay height, low-response, pressure to be present The shortcomings that power collection is inaccurate, adaptability difference and stability is not high, so that PEEP valves are unable to reach very high operating accuracy. Because obtaining very high operating accuracy, then finer pressure and the corresponding table of electric current must be obtained, this needs a large amount of tired Trivial test.And to store this fine tabular value and be also required to very big memory space.Simultaneously this fine tabular value is quoted to enter Row calculates, it is also desirable to substantial amounts of system time and resource.
The content of the invention
In view of the drawbacks described above of prior art, the technical problems to be solved by the invention are to provide one kind can be to patient Breathing pipeline pressure is monitored in real time, and the lung ventilator air flue compress control method higher to PEEP valve control accuracies.
To achieve the above object, the invention provides a kind of lung ventilator air flue compress control method, using lung ventilator air flue Control system is controlled, and the lung ventilator air flue control system includes:Processing unit, air-channel system, it is controlled by processing unit PEEP valves and its driver element;Air-channel system includes breathing circuit, and the breathing circuit is connected by gas path pipe respectively to be inhaled Air valve and the PEEP valves;The PEEP valves are used to driving gas being discharged in air;The breathing circuit is also associated with air-breathing Branch road and expiration branch road;The expiration branch road is provided with airway pressure sensor;The airway pressure sensor is exhaled for collection Pressure value in the air flue in the end of term in gas week;The signal output part of the airway pressure sensor connects the signal of the processing unit Input, the first control signal output of the processing unit connect the driver element of the PEEP valves, the processing unit The break-make of the PEEP valves is driven by the driver element;Described in the second control signal output connection of the processing unit The control signal input of inlet valve;Carry out according to the following steps:
Step 1: the pressure value P 1 of setting is input in processing unit, the processing unit is according to the control stored Table draws corresponding current value I1 and controls the PEEP valves to open using current value I1;
Step 2: at exhalation cycle end, the pressure sensor detects the airway pressure in expiration branch road and to detecting Airway pressure force value QtCompensate, then by the airway pressure force value Z after compensationcIt is conveyed to the processing unit;
Step 3: deviation Δ P=Z is calculated by the processing unitc- P1, whether judgment bias value Δ P is desired In control range;
When Δ P is not in desired control range, then adjusted value P1 ' is obtained according to P1 '=P1+ Δs P × K;It is described Processing unit is using adjusted value P1 ' as setup pressure value, and circulation carries out above-mentioned steps one to step 3, until deviation is in institute's phase In the control range of prestige;The K is to control the scale factor adjusted, 0.4 < K < 0.9;
When Δ P is in desired control range, the processing unit, which judges whether to receive, ceases and desist order, and works as processing Unit receives to be terminated when ceasing and desisting order;Returned when processing unit, which is not received by, ceases and desist order and perform step 2;
Airway pressure force value Q in step 2 to detectingtCompensate and perform according to the following steps:
S1, the airway pressure force value collected is set as Qt, the t is positive integer;
S2, obtain effective pressure ordered series of numbers;
Effective judgment value is set as Pa, judgment threshold is set as R;Calculate Pa=Qa-Qa-1Obtain Pa;Judge whether Pa>=R, Work as PaDuring >=R, by QaDelete;Work as PaDuring < R, by QaIt is stored in effective pressure ordered series of numbers;2≤a≤t and a are integer;The R > 0; The effective pressure ordered series of numbers is set as { Mb, the b is positive integer;
S3, calculate pressure compensation parameter;
The pressure compensation parameter is set as Nc, calculateObtain pressure compensation parameter Nc;The Mc∈ {MbAnd c >=3, c be integer;
S4, to McCompensate;
Airway pressure force value after setting compensation is Zc, calculate
After being compensated Airway pressure force value Zc
Using above technical scheme, the airway pressure force value collected is filtered, can effectively overcome accidental factor Caused fluctuation interference, accurate airway pressure collecting unit value is provided for follow-up data processing.Then pressed by calculating Force compensating parameter compensates to the pressure value collected, because the pressure divergence that traditional lung ventilator collects is big and dynamically loud Answering property is poor, lacks consideration to the trend of pressure change, it is therefore necessary to pressure is compensated, the pressure obtained using the technical program Force compensating parameter and compensation way, can be dynamically according to the airway pressure force value and airway pressure variation tendency collected to collection Airway pressure compensate so that lung ventilator can accurately prejudge airway pressure regulated quantity, with to patient respiration pipeline air pressure The regulation of adaptability is carried out, the stability of patient respiration pipeline pressure control is improved, ensure that this airway pressure control method In the adaptability of different use environments.The present invention improves precision by closed-loop control, the monitoring PEEP valve controls in real time in control The end-tidal airway pressure force value of system, and as feedback, constantly calculate and adjust PEEP valves, reach the output of PEEP valves Higher precision.Simultaneously because still the calibration process of PEEP valves is simplified, is subtracted using simple pressure and the corresponding table of electric current The small memory space of tabular value, decrease and calculate the time.
The beneficial effects of the invention are as follows:The present invention can accurately prejudge airway pressure regulated quantity, with to patient respiration pipeline Air pressure carries out the regulation of adaptability, improves the stability of patient respiration pipeline pressure control, ensure that this airway pressure controls Adaptability of the method in different use environments.Simultaneously this invention simplifies the calibration process of PEEP valves, the storage of tabular value is reduced Space, decrease and calculate the time.
Brief description of the drawings
Fig. 1 is the principle schematic of the lung ventilator air flue control system of the embodiment of the invention.
Fig. 2 is the schematic flow sheet of the embodiment of the invention.
Embodiment
The invention will be further described with reference to the accompanying drawings and examples:
As shown in figure 1, a kind of lung ventilator air flue control system, including:Processing unit 1, air-channel system 2, it is controlled by processing The PEEP valves 3 and its driver element 4 of unit 1;Air-channel system includes breathing circuit 2, and the breathing circuit 2 passes through gas circuit pipe respectively Road connects inlet valve 6 and the PEEP valves 3;The PEEP valves 3 are used to driving gas being discharged in air;The breathing circuit 2 It is also associated with inspiration limb and expiration branch road;The expiration branch road is provided with airway pressure sensor 5;The airway pressure sensing Device 5 is used to gather the pressure value in the air flue at exhalation cycle end;Described in the signal output part connection of the airway pressure sensor 5 The signal input part of processing unit 1, the first control signal output of the processing unit 1 connect the driving of the PEEP valves 3 Unit 4, the processing unit 1 drive the break-make of the PEEP valves 3 by the driver element 4;The second of the processing unit 1 Control signal output connects the control signal input of the inlet valve 6.Gas is entered in breathing circuit by inlet valve The exocoel of bellows, the air bag compressed in bellows move downward, and intracapsular gas is flowed into patient end via inspiration limb, inhale patient Enter gas.Gas is returned in breathing circuit inside the folded airbag of bellows by patient end through expiration branch road, and promoting air bag to rise makes Driving gas outside bellows is discharged in air via PEEP valves.
As shown in Fig. 2 a kind of lung ventilator air flue compress control method, using lung ventilator air flue control system according to the following steps Carry out:
Step 1: the pressure value P 1 of setting is input in processing unit 1, the processing unit 1 is according to pair stored Draw corresponding current value I1 according to table and control the PEEP valves 3 it is opened to current value I1 using current value I1 and correspond to Aperture.
Step 2: at exhalation cycle end, the airway pressure sensor 5 detects the airway pressure in expiration branch road and to inspection The airway pressure force value Q measuredtCompensate, then by the airway pressure force value Z after compensationcIt is conveyed to the processing unit 1.
Step 3: deviation Δ P=Z is calculated by the processing unit 1c- P1, whether judgment bias value Δ P is desired Control range in.
When Δ P is not in desired control range, then adjusted value P1 ' is obtained according to P1 '=P1+ Δs P × K;It is described Processing unit 1 is using adjusted value P1 ' as setup pressure value, and circulation carries out above-mentioned steps one to step 3, until deviation is in institute In desired control range;The K is to control the scale factor adjusted, 0.4 < K < 0.9.
When Δ P is in desired control range, the processing unit 1, which judges whether to receive, ceases and desist order, and works as place Reason unit 1 receives to be terminated when ceasing and desisting order;Returned when processing unit 1, which is not received by, ceases and desist order and perform step 2.
Airway pressure force value Q in step 2 to detectingtCompensate and perform according to the following steps:
S1, the airway pressure force value collected is set as Qt, the t is positive integer;
S2, obtain effective pressure ordered series of numbers;
Effective judgment value is set as Pa, judgment threshold is set as R;Calculate Pa=Qa-Qa-1Obtain Pa;Judge whether Pa>=R, Work as PaDuring >=R, by QaDelete;Work as PaDuring < R, by QaIt is stored in effective pressure ordered series of numbers;2≤a≤t and a are integer;The R > 0; The effective pressure ordered series of numbers is set as { Mb, the b is positive integer.At least collection has 4 effectively in the effective pressure ordered series of numbers Pressure value;Pressure value in the effective pressure ordered series of numbers is arranged by acquisition order, and the first effective pressure value collected is M1, Second virtual value collected is M2... b-th of effective pressure value collected is Mb.This programme gathers pressure from second Q2Start mutation pressure data caused by excluding the interference signal, filtered out the influence of environment, ensure that the data precision of collection And validity;
S3, calculate pressure compensation parameter;
The pressure compensation parameter is set as Nc, calculateObtain pressure compensation parameter Nc;The Mc∈ {MbAnd c >=3, c be integer;
S4, to McCompensate;
Airway pressure force value after setting compensation is Zc, calculate
After being compensated Airway pressure force value Zc
In above scheme, work as MC-1-Mc-2> 0 and MC-Mc-1> 0, then airway pressure is to continue the rising stage, works as MC-1-Mc-2> 0 and MC-Mc-1< 0, then the impacted decline of airway pressure, works as MC-1-Mc-2< 0 and MC-Mc-1< 0, then airway pressure is continuous decrease Phase, work as MC-1-Mc-2< 0 and MC-Mc-1> 0, then the impacted rising of airway pressure, works as MC-1-Mc-2=0 or MC-Mc-1When=0, air flue Pressure is in stationary phase.Above scheme is in different trend according to airway pressure, takes corresponding compensation way, avoids mistake Carry out pressure compensation, improves airway pressure stability, pressure controlling can be dynamically carried out in Use of respirator by mistake.
The present invention can accurately prejudge airway pressure regulated quantity, and airway pressure is carried out according to airway pressure variation tendency Compensation, improves the stability of airway pressure control, simultaneously because largely eliminating the influence of interference data, ensure that this gas Adaptability of the road compress control method in varying environment.
Preferred embodiment of the invention described in detail above.It should be appreciated that one of ordinary skill in the art without Creative work can is needed to make many modifications and variations according to the design of the present invention.Therefore, all technologies in the art Personnel are available by logical analysis, reasoning, or a limited experiment on the basis of existing technology under this invention's idea Technical scheme, all should be in the protection domain being defined in the patent claims.

Claims (1)

1. a kind of lung ventilator air flue compress control method, is controlled using lung ventilator air flue control system, the lung ventilator gas Road control system includes:Processing unit (1), breathing circuit (2), the PEEP valves (3) for being controlled by processing unit (1) and its driving are single First (4);The breathing circuit (2) connects inlet valve (6) and the PEEP valves (3) by gas path pipe respectively;The PEEP valves (3) it is used to driving gas being discharged in air;The breathing circuit (2) is also associated with inspiration limb and expiration branch road;It is described to exhale Gas branch road is provided with airway pressure sensor (5);The airway pressure sensor (5) is used to gather in the last air flue of exhalation cycle Pressure value;The signal output part of the airway pressure sensor (5) connects the signal input part of the processing unit (1), institute The first control signal output for stating processing unit (1) connects the driver element (4) of the PEEP valves (3), the processing unit (1) break-make of the PEEP valves (3) is driven by the driver element (4);Second control signal of the processing unit (1) is defeated Go out the control signal input that end connects the inlet valve (6);It is characterized in that carry out according to the following steps:
Step 1: the pressure value P 1 of setting is input in processing unit (1), the processing unit (1) is according to pair stored Corresponding current value I1 is drawn according to table and controls the PEEP valves (3) to open using current value I1;
Step 2: at exhalation cycle end, the airway pressure sensor (5) detects the airway pressure in expiration branch road and to detection The airway pressure force value Q arrivedtCompensate, then by the airway pressure force value Z after compensationcIt is conveyed to the processing unit (1);
Step 3: deviation Δ P=Z is calculated by the processing unit (1)c- P1, whether judgment bias value Δ P is in desired control In the range of system;
When Δ P is not in desired control range, then adjusted value P1 ' is obtained according to P1 '=P1+ Δs P × K;The processing Unit (1) is using adjusted value P1 ' as setup pressure value, and circulation carries out above-mentioned steps one to step 3, until deviation is in institute's phase In the control range of prestige;The K is to control the scale factor adjusted, 0.4 < K < 0.9;
When Δ P is in desired control range, the processing unit (1), which judges whether to receive, to be ceased and desisted order, and works as processing Unit (1) receives to be terminated when ceasing and desisting order;Returned when processing unit (1), which is not received by, ceases and desist order and perform step 2;
Airway pressure force value Q in step 2 to detectingtCompensate and perform according to the following steps:
S1, the airway pressure force value collected is set as Qt, the t is positive integer;
S2, obtain effective pressure ordered series of numbers;
Effective judgment value is set as Pa, judgment threshold is set as R;Calculate Pa=Qa-Qa-1Obtain Pa;Judge whether Pa>=R, works as Pa During >=R, by QaDelete;Work as PaDuring < R, by QaIt is stored in effective pressure ordered series of numbers;2≤a≤t and a are integer;The R > 0;Setting The effective pressure ordered series of numbers is { Mb, the b is positive integer;
S3, calculate pressure compensation parameter;
The pressure compensation parameter is set as Nc, calculateObtain pressure compensation parameter Nc;The Mc∈{Mb} And c >=3, c are integer;
S4, to McCompensate;
Airway pressure force value after setting compensation is Zc, calculate
After being compensated Airway pressure force value Zc
CN201510540448.7A 2015-08-28 2015-08-28 A kind of lung ventilator air flue compress control method Expired - Fee Related CN105194776B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510540448.7A CN105194776B (en) 2015-08-28 2015-08-28 A kind of lung ventilator air flue compress control method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510540448.7A CN105194776B (en) 2015-08-28 2015-08-28 A kind of lung ventilator air flue compress control method

Publications (2)

Publication Number Publication Date
CN105194776A CN105194776A (en) 2015-12-30
CN105194776B true CN105194776B (en) 2017-12-26

Family

ID=54942944

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201510540448.7A Expired - Fee Related CN105194776B (en) 2015-08-28 2015-08-28 A kind of lung ventilator air flue compress control method

Country Status (1)

Country Link
CN (1) CN105194776B (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105854142B (en) * 2016-05-10 2018-08-31 苏州鱼跃医疗科技有限公司 A kind of respirator treatment pressure stability method based on back-propagation algorithm
CN111265746B (en) * 2020-01-20 2022-02-22 深圳市科曼医疗设备有限公司 Hybrid chamber pressure control method, ventilator apparatus, and computer-readable storage medium
CN113144300A (en) * 2021-03-12 2021-07-23 中国人民解放军联勤保障部队第九二〇医院 Gastrointestinal decompression device, decompression system and decompression method for clinical use in digestive system department
CN113198074B (en) * 2021-04-15 2023-12-12 深圳市普博医疗科技股份有限公司 Airway pressure correction method and device of breathing machine and breathing machine

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101468223A (en) * 2007-12-29 2009-07-01 北京谊安医疗系统股份有限公司 Method for improving working accuracy of PEEP valve
CN103977491A (en) * 2003-06-20 2014-08-13 雷斯梅德有限公司 Method and apparatus for improving the comfort of CPAP

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BRPI0413275A (en) * 2003-08-04 2006-10-10 Pulmonetic Systems Inc portable fan and portable fan system
NZ606249A (en) * 2010-07-30 2015-06-26 Resmed Ltd Methods and devices with leak detection

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103977491A (en) * 2003-06-20 2014-08-13 雷斯梅德有限公司 Method and apparatus for improving the comfort of CPAP
CN101468223A (en) * 2007-12-29 2009-07-01 北京谊安医疗系统股份有限公司 Method for improving working accuracy of PEEP valve

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
呼吸机测控系统的研究;郭军涛;《中国优秀博硕士学位论文全文数据库(硕士) 医药卫生科技辑》;20041215(第4期);正文第五章 *

Also Published As

Publication number Publication date
CN105194776A (en) 2015-12-30

Similar Documents

Publication Publication Date Title
CN105194776B (en) A kind of lung ventilator air flue compress control method
CN107970510B (en) Method and apparatus for appropriately regulating Positive End Expiratory Pressure (PEEP)
CN102078655B (en) Apparatus for improving the comfort of cpap
JP5995942B2 (en) Ventilator leak compensation
CN101337101B (en) Aerating system of anesthesia apparatus and respirator and pressure monitoring method
CN103893865B (en) A kind of method of lung ventilator turbine volume controlled ventilation
CN101310788B (en) Anesthesia apparatus and calibration method of suction valve thereof
EP0475993B1 (en) Improvements in or relating to medical ventilators
CN103893864A (en) Turbine respirator pressure control ventilation method
AU2005289817B2 (en) Gas flow control method in a blower based ventilation system
JPH10505765A (en) Pressure controlled breathing assist device
RU2722432C1 (en) Method of pressure and gas mixture control for non-invasive artificial lung ventilation
CN105963837A (en) Air-oxygen mixed control breathing machine and control method
US20090165798A1 (en) method for improving control and detection precision of tidal volume by a calculation introduced with r value
RU2606663C2 (en) System and method for insufflation and exsufflation of patient
EP2575942B1 (en) Breathing system with flow estimation
CN101479005A (en) System and method for adaptive high frequency flow interrupter control in a patient respiratory ventilator
CN101468223B (en) Method for improving working accuracy of PEEP valve
CA2584423A1 (en) Expiratory pressure regulation in a ventilator
CN103079621A (en) Method and system for patient-synchronized ventilatory assist with endotracheal through-flow
CN108066863A (en) A kind of high reliability anesthesia respirator vent method
EP1086716A2 (en) Feedback control of mechanical breathing aid gas flow
CN102397609A (en) Ventilation method for ensuring volume and limiting pressure of anesthesia machine and breathing machine
CN109996579B (en) Method and system for non-invasive ventilation patient airway and leak flow estimation
CN107735133B (en) Method and system for non-invasive ventilation patient airway and leak flow estimation

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20171226

Termination date: 20200828

CF01 Termination of patent right due to non-payment of annual fee