CN106975134B - Method and device for adjusting replacement point of respirator and noninvasive respirator - Google Patents
Method and device for adjusting replacement point of respirator and noninvasive respirator Download PDFInfo
- Publication number
- CN106975134B CN106975134B CN201710232460.0A CN201710232460A CN106975134B CN 106975134 B CN106975134 B CN 106975134B CN 201710232460 A CN201710232460 A CN 201710232460A CN 106975134 B CN106975134 B CN 106975134B
- Authority
- CN
- China
- Prior art keywords
- time
- ventilator
- breathing
- replaces
- value
- 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.)
- Active
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
- A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
- A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
Landscapes
- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Abstract
The embodiment of the invention discloses a method for adjusting a switch-back point of a breathing machine, which is characterized in that a boundary point of expiration and inspiration of a user is determined by monitoring the ventilation volume of the user in real time, and the switch-back point of the breathing machine is adjusted according to the relation between the time corresponding to the boundary point and the switch-back time of the breathing machine. When the time corresponding to the demarcation point is greater than the withdrawal point time, which indicates that withdrawal is too fast, the ratio of the flow corresponding to the withdrawal time to the flow of the inspiration peak is adjusted downwards, otherwise, the ratio is adjusted upwards in a certain proportion. The point of replacing of breathing machine is adjusted in time, and it is unanimous with the removing of breathing machine to ensure user's breathing action to satisfy user's breathing demand, improve user's use and experience, be favorable to improving respiratory disease patient's comfort level, be favorable to improving respiratory disease's treatment quality. In addition, the embodiment of the invention also provides a corresponding implementation device and a noninvasive ventilator, so that the method has higher practicability, and the device and the noninvasive ventilator have corresponding advantages.
Description
Technical field
The present embodiments relate to ventilator preparation technical fields, replace side a little more particularly to a kind of adjustment of ventilator
Method, device and noninvasive ventilator.
Background technique
Ventilator increases pulmonary ventilation volume by a kind of normal physiologic respiration that can replace, control or change people, improves work of breathing
Can, mitigate respiratory power consumption, saves the device of heart reservation ability.Ventilator needs circuit sequentially progress to lung inflation, air-breathing
It is converted to exhaling, alveolar air is discharged and exhales and is converted to air-breathing, therefore the power of conveying gas can be provided by needing to have, instead of people
The work of body respiratory muscle；Certain respiratory rhythm, including respiratory rate and inspiratory/expiratory can be generated, to replace human body respiration maincenter mind
Through the function of dominating respiratory rhythm；Suitable tidal volume or minute ventilation can be provided, to meet the needs of respiratory metabolism；Supply
Gas by heating and humidifying, instead of human body nasal cavity function, and can supply higher than amount of oxygen contained in atmosphere, to improve suction
Enter oxygen concentration, improves oxygen and close.
Ventilator is connected by a hose and mask or nose cup with user, gas-pressurized is generated by blower, through pipe
Road is transported to Use of respirator person end, in Use of respirator person breathing, ventilator is moved according to the breathing for judge currently used person
Make, when being determined as aspiratory action, then conveys higher IPAP pressure, auxiliary user ventilates；It is dynamic when being judged to exhaling
When making, then pressure is replaced in time as EPAP, it is ensured that the smooth exhaled gas of user.
During Use of respirator, due to being influenced by extraneous various factors, ventilator is replaced with user's
Respiratory movement is inconsistent, such as referring to Figure 1 and Fig. 2, Fig. 1 ventilator replaced slowly, and the flow waveform of user has been at this time
Through declining, but pressure causes the flow of user to continue after higher horizontal a period of time just there is no replacing in time
Decline；For example, in the prior art by dropping to the 25% of air-breathing peak flow when the flow for determining current ventilator, just carry out by
IPAP pressure replaces as EPAP.But replacing due to this fixation, will cause replace it is too slow, thus user need into
When row exhaled gas, ventilator still provides a higher pressure, causes user's expiratory dyspnea.Fig. 2 ventilator replaces too fastly,
User does not start also to exhale, and pressure just has declined, and since user is not drawn onto enough tolerance, also will do it suction
Gas effort, causes flow to rise again, causes user's air-breathing more difficult.
Therefore replacing for the machine that how to ensure respiration is consistent with the respiratory movement of user, to meet the breathing of user
Demand is those skilled in the art's urgent problem.
Summary of the invention
The purpose of the embodiment of the present invention is that providing a kind of adjustment of ventilator replaces method, apparatus and noninvasive breathing a little
Machine, it is ensured that replacing for ventilator is consistent with the respiratory movement of user, to meet the respiratory demand of user.
In order to solve the above technical problems, the embodiment of the present invention the following technical schemes are provided:
On the one hand the embodiment of the present invention provides a kind of adjustment of ventilator and replaces method a little, comprising:
Obtain active user's breathing separation corresponding first time, ventilator replaces a little corresponding second time and institute
It states ventilator and replaces a corresponding air-breathing peak flow ratio；
When the first time being greater than second time, the time that replaces of the ventilator is adjusted to, it is current to flow
Magnitude and the ratio of air-breathing peak flow are that air-breathing peak flow ratio lowers corresponding time when the first default percentage value；
When the first time being less than second time, the time that replaces of the ventilator is adjusted to, it is current to flow
Magnitude and the ratio of air-breathing peak flow are that air-breathing peak flow ratio raises corresponding time when the second default percentage value.
Optionally, further includes:
When the time difference of the first time and second time are not more than preset threshold；
Obtain the pressure curve of the breathing gas of the user, and judge after the adjustment replace a little the corresponding time it
Before, the pressure curve whether there is peak value；
It is adjusted when determining that the time that replaces of the ventilator there are when peak value, is then adjusted to by the pressure curve
It replaces a little corresponding air-breathing peak flow ratio up-regulation third and presets corresponding time when percentage value；
When determining that peak value is not present in the pressure curve, the volume curve of the breathing gas of the user is obtained, is judged
The volume curve whether there is second peak value；
When determining that the time that replaces of the ventilator there are when second peak value, is then adjusted to by the volume curve, tune
The a little corresponding air-breathing peak flow ratio that replaces after whole lowers corresponding time when four default percentage values.
Optionally, the acquisition active user breathes separation corresponding first time are as follows:
The capability value that the active user breathes within a preset period of time is obtained, and capacity song is generated according to the capability value
Line, using the time of the vertex correspondence of the capacity curve as the first time.
Optionally, the preset threshold is 200ms.
Optionally, the described first default percentage value is identical as the described second default percentage value.
Optionally, the described first default percentage value is 1%.
Optionally, it is identical as the 4th default percentage value to preset percentage value for the third, and is 1%.
On the other hand the embodiment of the present invention provides a kind of adjustment of ventilator and replaces device a little, comprising:
Information module is obtained, breathes separation corresponding first time for obtaining active user, ventilator replaces a little pair
The second time and the ventilator answered replace a corresponding air-breathing peak flow ratio；
The ventilator is replaced the time when the first time being greater than second time by the first adjustment module
It is adjusted to, the ratio of present flow rate value and air-breathing peak flow is when air-breathing peak flow ratio lowers the first default percentage value pair
The time answered；When the first time being less than second time, the time that replaces of the ventilator is adjusted to, it is current to flow
Magnitude and the ratio of air-breathing peak flow are that air-breathing peak flow ratio raises corresponding time when the second default percentage value.
Optionally, further include second adjustment module, specifically include:
Judging unit, for when the time difference of the first time and second time are not more than preset threshold；
Obtain the pressure curve of the breathing gas of the user, and judge after the adjustment replace a little corresponding time before, the pressure
Force curve whether there is peak value；
The first adjustment unit, for when determining the pressure curve there are when peak value, then by the ventilator when replacing
Between be adjusted to, it is adjusted to replace corresponding time when a little corresponding air-breathing peak flow ratio up-regulation third presets percentage value；
Second adjustment unit, for obtaining the tidal air of the user when determining that peak value is not present in the pressure curve
The volume curve of body judges the volume curve with the presence or absence of second peak value；When determining the volume curve, there are second
When peak value, then the time that replaces of the ventilator is adjusted to, it is adjusted to replace a little corresponding air-breathing peak flow ratio downward
Corresponding time when four default percentage values.
The embodiment of the invention also provides a kind of noninvasive ventilator, including flow sensor, pressure sensor and as above
The adjustment of ventilator described in any one replaces device a little.
The embodiment of the invention provides a kind of adjustment of ventilator to replace method a little, passes through the real-time prison to user's ventilatory capacity
It surveys, determines the expiration of user and the separation of air-breathing, according to the relationship for the time that separation corresponding time and ventilator replace
Replacing for ventilator is a little adjusted.When the separation corresponding time, which is greater than, replaces time, illustrate to replace too fast, then general
It replaces time corresponding flow to be lowered with air-breathing peak flow ratio, conversely, then carrying out a certain proportion of up-regulation.
The advantages of technical solution provided by the present application, is, real by the respiratory movement of user and the ventilatory capacity of ventilator
When the timeliness of ventilator replaced a little judged, replaced a little to adjust ventilator in time.Ensure the breathing of user
Movement is consistent with replacing for ventilator, to meet the respiratory demand of user, is improved the usage experience of user, is conducive to improve
The comfort level of respiratory disorder patient is conducive to the therapeutic quality for improving respiratory disorder.
In addition, the method that the embodiment of the present invention replaces a little also directed to ventilator adjustment provide corresponding realization device and
A kind of noninvasive ventilator, further such that the method has more practicability, described device and noninvasive ventilator have corresponding
Advantage.
Detailed description of the invention
It, below will be to embodiment or existing for the clearer technical solution for illustrating the embodiment of the present invention or the prior art
Attached drawing needed in technical description is briefly described, it should be apparent that, the accompanying drawings in the following description is only this hair
Bright some embodiments for those of ordinary skill in the art without creative efforts, can be with root
Other attached drawings are obtained according to these attached drawings.
Fig. 1 is corresponding user's flow waveform figure and pressure wave when ventilator provided in an embodiment of the present invention replaces too slow
The contrast schematic diagram of shape figure；
Fig. 2 is corresponding user's flow waveform figure and pressure wave when ventilator provided in an embodiment of the present invention replaces too fast
The contrast schematic diagram of shape figure；
Fig. 3 is the waveform diagram that a ventilator provided in an embodiment of the present invention replaces scene；
Fig. 4 is the flow diagram that a kind of ventilator adjustment provided in an embodiment of the present invention replaces point methods；
Fig. 5 is the capacity curve schematic diagram of user's breathing gas provided in an embodiment of the present invention；
Fig. 6 is the flow diagram that another ventilator adjustment provided in an embodiment of the present invention replaces point methods；
Fig. 7 is ventilator pressure curve schematic diagram provided in an embodiment of the present invention；
Fig. 8 is the capacity curve schematic diagram of another user's breathing gas provided in an embodiment of the present invention；
Fig. 9 is a kind of specific embodiment structure chart that ventilator provided in an embodiment of the present invention adjustment replaces a device；
Figure 10 is another specific embodiment structure that ventilator provided in an embodiment of the present invention adjustment replaces a device
Figure；
Figure 11 is a kind of specific embodiment structure chart of noninvasive ventilator provided in an embodiment of the present invention.
Specific embodiment
In order to enable those skilled in the art to better understand the solution of the present invention, with reference to the accompanying drawings and detailed description
The present invention is described in further detail.Obviously, described embodiments are only a part of the embodiments of the present invention, rather than
Whole embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not making creative work premise
Under every other embodiment obtained, shall fall within the protection scope of the present invention.
The description and claims of this application and term " first ", " second ", " third " " in above-mentioned attached drawing
Four " etc. be for distinguishing different objects, rather than for describing specific sequence.Furthermore term " includes " and " having " and
Their any deformations, it is intended that cover and non-exclusive include.Such as contain a series of steps or units process, method,
System, product or equipment are not limited to listed step or unit, but may include the step of not listing or unit.
In the prior art, replacing for ventilator can not often be consistent with the respiratory movement of user in time, cause to make
User, which breathes, experiences bad, the even breathing of influence user when serious.Shown in Figure 3, two width waveform diagram of the top Fig. 3 is
Pressure waveform figure, following two width waveform diagram are the waveform diagram of user's respiratory capacity, Neural T1It is anti-for user's nerve center
The time for answering air-breathing to complete.Right-hand component is normally to replace in figure, and left-hand component is to replace slow situation, is replaced a little in right figure
It is the 25% of peak flow, and is replaced a little in left figure if still maintaining 25%, will lead to and replaced slow, patient exhales tired
Difficulty, present inventor have found after study, in left figure, if being a little adjusted to the 60% of air-breathing peak flow for replacing, this
When patient expiration restore normal, flow curve is almost the same with right figure.
In consideration of it, the application determines the expiration of user and the separation of air-breathing by the real-time monitoring to user's ventilatory capacity,
The relationship of the time replaced according to the separation corresponding time with ventilator is a little adjusted replacing for ventilator.Work as separation
The corresponding time is greater than when replacing time, illustrate to replace too fastly, then will replace time corresponding flow and air-breathing peak flow-rate ratio
Value is lowered, conversely, then carrying out a certain proportion of up-regulation.
It should be noted that above-mentioned application scenarios are merely for convenience of understanding the thought of the application and principle and showing, this
The embodiment of application is unrestricted in this regard.On the contrary, presently filed embodiment can be applied to it is applicable any
Scene.
After describing the technical solution of the embodiment of the present invention, the various non-limiting realities of detailed description below the application
Apply mode.
Referring first to Fig. 4, Fig. 4 is the process signal that a kind of ventilator adjustment provided in an embodiment of the present invention replaces point methods
Figure, the embodiment of the present invention may include the following contents:
S401: active user's breathing separation corresponding first time is obtained, ventilator replaces a little corresponding second time
And the ventilator replaces a corresponding air-breathing peak flow ratio.
Determining at the first time can be according to following methods:
The capability value that the active user breathes within a preset period of time is obtained, and capacity song is generated according to the capability value
Line (please refers to shown in Fig. 5), using the time of the vertex correspondence of the capacity curve as the first time.
When air-breathing, capacity rises, and when exhaling, patient's capacity can be gradually reduced, before being finally restored to air-breathing
Volume size, the vertex P of capacity curve are exactly the separation of air-breathing and expiration.
The a little corresponding time that replaces of ventilator is when the certain percentage for detecting present flow rate as air-breathing peak flow
When, determine that current is the separation of user's breathing, IPAP pressure will be replaced at this time as EPAP, or EPAP pressure will be removed
It is changed to IPAP, the time replaced alternatively referred to as replaces a little.
Ventilator replaces a corresponding air-breathing peak flow ratio, that is, refers to when replacing, present flow rate and air-breathing peak flow
Ratio, for example, when replacing a little be set as the 25% of air-breathing peak flow, refer to when current flow is air-breathing peak flow
When 25%, the pressure of ventilator is replaced.25% is air-breathing peak flow ratio at this time.
S402: when the first time being greater than second time, the time that replaces of the ventilator being adjusted to, when
Preceding flow value and the ratio of air-breathing peak flow are that air-breathing peak flow ratio lowers corresponding time when the first default percentage value.
S403: when the first time being less than second time, the time that replaces of the ventilator being adjusted to, when
Preceding flow value and the ratio of air-breathing peak flow are that air-breathing peak flow ratio raises corresponding time when the second default percentage value.
First default percentage value can be identical with the second default percentage value, can also be different, and the first default percentage value, second are in advance
It can also be other values, this does not influence the realization of the application certainly if percentage value can be 1%.
For example, current ventilator, which replaces, is a little set as the 25% of air-breathing peak flow, is greater than second when first time
When the time, show to replace too fastly, can a little be set as the 24% of air-breathing peak flow for replacing, i.e., ought detect that present flow rate is peak stream
Amount 24% when, replace；When first time is less than the second time, shows to replace too slowly, can will replace and a little be set as inhaling
The 26% of gas peak flow replaces that is, when detecting present flow rate is the 26% of peak flow.Successively come guarantee at the first time
It is as identical as possible as the second time, that is, guarantee that man-machine trace performance is good.
In technical scheme, by the respiratory movement of user and the ventilatory capacity of ventilator, in real time to ventilator
The timeliness replaced a little is judged, to adjust replacing a little for ventilator in time.Ensure the respiratory movement and ventilator of user
Replace and be consistent, to meet the respiratory demand of user, improve the usage experience of user, be conducive to improve respiratory disorder patient
Comfort level, be conducive to improve respiratory disorder therapeutic quality.
When the time difference of first time and second time are enough small, it is believed that it is man-machine at this time to be consistent,
It can not have to replace exchange a little, such as difference is 0.005s.Therefore based on the above embodiment, present invention also provides in addition
One embodiment.It please refers to shown in Fig. 6, specifically can include:
S601: specifically describing with S401 consistent, and details are not described herein again.
S602: judge whether the first time and the time difference of second time are not more than preset threshold.
Preset threshold is 200ms, can also be other any values certainly, the application does not do any restriction to this.
S603: when judging that the time difference of the first time and second time are greater than preset threshold, when described the
When one time was greater than second time, the time that replaces of the ventilator is adjusted to, present flow rate value and air-breathing peak flow
Ratio be corresponding time when air-breathing peak flow ratio lowers the first default percentage value；It is less than institute when the first time
When stating for the second time, the time that replaces of the ventilator is adjusted to, the ratio of present flow rate value and air-breathing peak flow is described
Air-breathing peak flow ratio raises corresponding time when the second default percentage value.
It is specific to illustrate the introduction for please referring to above-described embodiment.
S604: it when the time difference for determining the first time and second time is not more than preset threshold, obtains
The pressure curve of the breathing gas of the user.
When time difference ▽ t is less than 200ms, it is still desirable to the variation of flow waveform and pressure waveform is judged, with
It obtains replacing the accurate conclusion whether synchronized.
S605: judge after the adjustment replace a little corresponding time before, the pressure curve whether there is peak value.
It is to analyze pressure waveform first, if pressure curve has obvious protrusion before replacing a little, please refers to Fig. 7
Shown in D point, then explanation replaces and still has sluggishness, and patient leads to have slight man-machine confrontation in forced expiration.
S606: it when determining that the time that replaces of the ventilator there are when peak value, is then adjusted to by the pressure curve, adjusts
The a little corresponding air-breathing peak flow ratio up-regulation third that replaces afterwards presets corresponding time when percentage value.
When determine to replace there are still it is asynchronous when, then need to continue to raise third default hundred on a benchmark replacing originally
Score value.It can be 1% that third, which presets percentage value, can also be other any values, this does not influence the realization of the application.
For example, working as at the first time constantly less than the second time, be a little set as the 26% of air-breathing peak flow for replacing,
And when determine pressure curve there are when peak value, need to continuing to be adjusted on the basis of 26%, such as up-regulation 1%, i.e., when current
Flow be air-breathing peak flow 27% when, ventilator replaces.
S607: when determining that peak value is not present in the pressure curve, the volume curve of the breathing gas of the user is obtained.
S608: judge the volume curve with the presence or absence of second peak value.
It is too fast in order to avoid replacing generation, it is also necessary to capacity curve be detected and judged.It please refers to shown in Fig. 8, if
Occur second wave crest Q after P point, which shows that patient is still carrying out aspiratory action, be then likely to occur replacing
Too early situation.
S609: when determining that the volume curve exists when second peak value, then the time that replaces of the ventilator is adjusted
For a little corresponding air-breathing peak flow ratio adjusted that replaces lowers corresponding time when four default percentage values.
Third presets percentage value can be identical with the 4th default percentage value, can also be different, and all can be 1%, certainly, can also be
Other values, this does not influence the realization of the application.
For example, working as at the first time constantly less than the second time, be a little set as the 26% of air-breathing peak flow for replacing,
And when determine volume curve exist when second peak value, need to continue to be adjusted on the basis of 26%, such as downward 1%, i.e.,
When current flow is the 25% of air-breathing peak flow, ventilator is replaced.
From the foregoing, it will be observed that the embodiment of the present invention further judges the two time difference, ventilator is more accurately judged
The timeliness that replaces a little, replaced a little to adjust ventilator in time.Ensure the respiratory movement of user and replacing for ventilator
It is consistent, to meet the respiratory demand of user, improves the usage experience of user, be conducive to improve the comfortable of respiratory disorder patient
Degree is conducive to the therapeutic quality for improving respiratory disorder.
The method that the embodiment of the present invention replaces a little also directed to ventilator adjustment provides corresponding realization device, further makes
It obtains the method and has more practicability.The device replaced a little to ventilator provided in an embodiment of the present invention adjustment below is situated between
It continues, ventilator adjustment described below replaces the method that device a little replaces a little with the adjustment of above-described ventilator can be mutually right
It should refer to.
Referring to Fig. 9, Fig. 9 is that ventilator provided in an embodiment of the present invention adjustment replaces a device in a kind of specific embodiment
Under structure chart, the device can include:
Information module 901 is obtained, active user breathes separation corresponding first time, ventilator replaces a little for obtaining
Corresponding second time and the ventilator replace a corresponding air-breathing peak flow ratio；
The first adjustment module 902, when the first time being greater than second time, by the ventilator when replacing
Between be adjusted to, when the ratio of present flow rate value and air-breathing peak flow is that air-breathing peak flow ratio lowers the first default percentage value
The corresponding time；When the first time being less than second time, the time that replaces of the ventilator is adjusted to, currently
Flow value and the ratio of air-breathing peak flow are that air-breathing peak flow ratio raises corresponding time when the second default percentage value.
Optionally, under a kind of specific embodiment, referring to Fig. 10, described device further includes second adjustment module 903,
The second adjustment module 903 can include:
Judging unit 9031, for being not more than preset threshold when the time difference of the first time and second time
When；Obtain the pressure curve of the breathing gas of the user, and judge after the adjustment replace a little corresponding time before, it is described
Pressure curve whether there is peak value；
The first adjustment unit 9032, for when determine the pressure curve there are when peak value, then removing the ventilator
Changing the time is adjusted to, adjusted when replacing that a little corresponding air-breathing peak flow ratio up-regulation third presets corresponding when percentage value
Between；
Second adjustment unit 9033, for obtaining exhaling for the user when determining that peak value is not present in the pressure curve
The volume curve of air-breathing body judges the volume curve with the presence or absence of second peak value；When determining the volume curve, there are the
When two peak values, then the time that replaces of the ventilator is adjusted to, it is adjusted to replace a little corresponding air-breathing peak flow ratio
Lower corresponding time when four default percentage values.
The function for each functional module that the adjustment of ventilator described in the embodiment of the present invention replaces a device can be according to the above method
Method specific implementation in embodiment, specific implementation process are referred to the associated description of above method embodiment, herein not
It repeats again.
From the foregoing, it will be observed that the embodiment of the present invention passes through the respiratory movement of user and the ventilatory capacity of ventilator, in real time to ventilator
The timeliness that replaces a little judged, replaced a little to adjust ventilator in time.Ensure respiratory movement and the breathing of user
Replacing for machine is consistent, and to meet the respiratory demand of user, improves the usage experience of user, is conducive to improve respiratory disorder trouble
The comfort level of person is conducive to the therapeutic quality for improving respiratory disorder.
The embodiment of the invention also provides a kind of noninvasive ventilator, referring to Figure 11, it may include:
Flow sensor 1101, pressure sensor 1102 and ventilator adjustment as described above replace device a little
1103。
The capability value that flow sensor 1101 breathes within a preset period of time for acquiring active user in real time, and breathing
The gas flow of machine pipeline.
Pressure sensor 1102 for acquiring the pressure of breathing machine pipeline, blower gas outlet and complete machine gas outlet in real time
Value.
Ventilator adjustment replaces the function of device 1103 a little and specific implementation please refers to above-described embodiment, herein just no longer
It repeats.
Certainly, the noninvasive ventilator further includes other elements, such as blower, is not described in more detail here.
The function of each functional module of noninvasive ventilator described in the embodiment of the present invention can be according in above method embodiment
Method specific implementation, specific implementation process are referred to the associated description of above method embodiment, and details are not described herein again.
From the foregoing, it will be observed that the embodiment of the present invention passes through the respiratory movement of user and the ventilatory capacity of ventilator, in real time to ventilator
The timeliness that replaces a little judged, replaced a little to adjust ventilator in time.Ensure respiratory movement and the breathing of user
Replacing for machine is consistent, and to meet the respiratory demand of user, improves the usage experience of user, is conducive to improve respiratory disorder trouble
The comfort level of person is conducive to the therapeutic quality for improving respiratory disorder.
Each embodiment in this specification is described in a progressive manner, the highlights of each of the examples are with it is other
The difference of embodiment, same or similar part may refer to each other between each embodiment.For being filled disclosed in embodiment
For setting, since it is corresponded to the methods disclosed in the examples, so being described relatively simple, related place is referring to method part
Explanation.
Professional further appreciates that, unit described in conjunction with the examples disclosed in the embodiments of the present disclosure
And algorithm steps, can be realized with electronic hardware, computer software, or a combination of the two, in order to clearly demonstrate hardware and
The interchangeability of software generally describes each exemplary composition and step according to function in the above description.These
Function is implemented in hardware or software actually, the specific application and design constraint depending on technical solution.Profession
Technical staff can use different methods to achieve the described function each specific application, but this realization is not answered
Think beyond the scope of this invention.
The step of method described in conjunction with the examples disclosed in this document or algorithm, can directly be held with hardware, processor
The combination of capable software module or the two is implemented.Software module can be placed in random access memory (RAM), memory, read-only deposit
Reservoir (ROM), electrically programmable ROM, electrically erasable ROM, register, hard disk, moveable magnetic disc, CD-ROM or technology
In any other form of storage medium well known in field.
Method, apparatus and noninvasive ventilator progress a little are replaced to a kind of ventilator adjustment provided by the present invention above
It is discussed in detail.Used herein a specific example illustrates the principle and implementation of the invention, above embodiments
Explanation be merely used to help understand method and its core concept of the invention.It should be pointed out that for the common of the art
, without departing from the principle of the present invention, can be with several improvements and modifications are made to the present invention for technical staff, these
Improvement and modification are also fallen within the protection scope of the claims of the present invention.
Claims (10)
1. a kind of ventilator adjustment replaces method a little characterized by comprising
It obtains that active user breathes separation corresponding first time, ventilator replaces a little corresponding second time and described exhales
Suction machine replaces a corresponding target air-breathing peak flow ratio；
When the first time being greater than second time, the time that replaces of the ventilator is adjusted to, present flow rate value
It is corresponding time when target air-breathing peak flow ratio lowers the first default percentage value with the ratio of air-breathing peak flow；
When the first time being less than second time, the time that replaces of the ventilator is adjusted to, present flow rate value
It is corresponding time when target air-breathing peak flow ratio raises the second default percentage value with the ratio of air-breathing peak flow；
Wherein, the ventilator replaces corresponding target air-breathing peak flow ratio and refers to present flow rate and suction when replacing
The ratio of gas peak flow.
2. the method according to claim 1, wherein further include:
When the time difference of the first time and second time are not more than preset threshold；
Obtain the pressure curve of the breathing gas of the user, and judge after the adjustment replace a little corresponding time before, institute
Pressure curve is stated with the presence or absence of peak value；
It is adjusted to replace when determining that the time that replaces of the ventilator there are when peak value, is then adjusted to by the pressure curve
Point corresponding air-breathing peak flow ratio up-regulation third presets corresponding time when percentage value；When the judgement pressure curve is not present
When peak value, the volume curve of the breathing gas of the user is obtained, judges the volume curve with the presence or absence of second peak value；
When determining that the time that replaces of the ventilator there are when second peak value, is then adjusted to, after adjustment by the volume curve
Replace corresponding time when a little corresponding air-breathing peak flow ratio lowers four default percentage values.
3. according to the method described in claim 2, it is characterized in that, the acquisition active user breathes separation corresponding first
Time are as follows:
The capability value that the active user breathes within a preset period of time is obtained, and capacity curve is generated according to the capability value,
Using the time of the vertex correspondence of the capacity curve as the first time.
4. according to the method described in claim 3, it is characterized in that, the preset threshold is 200ms.
5. according to method described in claim 2 to 4 any one, which is characterized in that the first default percentage value with it is described
Second default percentage value is identical.
6. according to the method described in claim 5, it is characterized in that, the first default percentage value is 1%.
7. according to the method described in claim 5, it is characterized in that, the third presets percentage value and the 4th default percentage
Be worth it is identical, and be 1%.
8. a kind of ventilator adjustment replaces device a little characterized by comprising
Obtain information module, breathe separation corresponding first time for obtaining active user, ventilator replace it is a little corresponding
Second time and the ventilator replace a corresponding target air-breathing peak flow ratio；The ventilator replaces a corresponding target and inhales
Gas peak flow ratio refers to the ratio of present flow rate and air-breathing peak flow when replacing；
The ventilator is replaced time adjustment when the first time being greater than second time by the first adjustment module
It is when target air-breathing peak flow ratio lowers the first default percentage value pair for the ratio of, present flow rate value and air-breathing peak flow
The time answered；When the first time being less than second time, the time that replaces of the ventilator is adjusted to, it is current to flow
Magnitude and the ratio of air-breathing peak flow are that target air-breathing peak flow ratio raises corresponding time when the second default percentage value.
9. device according to claim 8, which is characterized in that further include second adjustment module, specifically include:
Judging unit, for when the time difference of the first time and second time are not more than preset threshold；It obtains
The pressure curve of the breathing gas of the user, and judge after the adjustment replace a little corresponding time before, pressure song
Line whether there is peak value；
The first adjustment unit, for when determining that the ventilator there are when peak value, then replaces time tune by the pressure curve
Whole to be, a little corresponding air-breathing peak flow ratio up-regulation third adjusted that replaces presets corresponding time when percentage value；
Second adjustment unit, for obtaining the breathing gas of the user when determining that peak value is not present in the pressure curve
Volume curve judges the volume curve with the presence or absence of second peak value；When determining the volume curve, there are second peak values
When, then the time that replaces of the ventilator is adjusted to, a little corresponding air-breathing peak flow ratio adjusted that replaces lowers the 4th
Corresponding time when default percentage value.
10. a kind of noninvasive ventilator, including flow sensor and pressure sensor, which is characterized in that further include that right such as is wanted
8 or 9 described in any item ventilators are asked to adjust the device replaced a little.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710232460.0A CN106975134B (en) | 2017-04-11 | 2017-04-11 | Method and device for adjusting replacement point of respirator and noninvasive respirator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710232460.0A CN106975134B (en) | 2017-04-11 | 2017-04-11 | Method and device for adjusting replacement point of respirator and noninvasive respirator |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106975134A CN106975134A (en) | 2017-07-25 |
| CN106975134B true CN106975134B (en) | 2019-10-01 |
Family
ID=59346069
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710232460.0A Active CN106975134B (en) | 2017-04-11 | 2017-04-11 | Method and device for adjusting replacement point of respirator and noninvasive respirator |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106975134B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109621118B (en) * | 2018-12-25 | 2024-04-19 | 湖南明康中锦医疗科技发展有限公司 | Self-adaptive adjusting method and device for respiratory support equipment |
| CN109718440A (en) * | 2018-12-28 | 2019-05-07 | 北京谊安医疗系统股份有限公司 | Reduce the method and system of Breathing Suppotion equipment man-machine confrontation |
| CN110947062A (en) * | 2019-03-31 | 2020-04-03 | 湖南明康中锦医疗科技发展有限公司 | Respiration withdrawal judgment method of respiration support equipment |
| CN110038198B (en) * | 2019-05-07 | 2021-09-21 | 濡新（北京）科技发展有限公司 | Closed-loop expectoration method and system for automatically titrating expectoration pressure |
Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6532960B1 (en) * | 2000-07-10 | 2003-03-18 | Respironics, Inc. | Automatic rise time adjustment for bi-level pressure support system |
| CN101318046A (en) * | 2007-06-04 | 2008-12-10 | 德拉格医疗股份两合公司 | Operating breathing and/or anaesthetizing apparatus in aprv mode involves detecting spontaneous expiration effort, initiating pressure release phase if detected spontaneous expiration effort occurs in |
| CN102245243A (en) * | 2008-12-09 | 2011-11-16 | 皇家飞利浦电子股份有限公司 | Automatic rise time adjustment |
| CN103182121A (en) * | 2011-12-30 | 2013-07-03 | 北京谊安医疗系统股份有限公司 | Pressure trigger control method for breathing machine |
| CN103182120A (en) * | 2011-12-30 | 2013-07-03 | 北京谊安医疗系统股份有限公司 | Method and device for man-machine synchronization of invasive respirator in noninvasive ventilation mode |
| CN103330979A (en) * | 2013-05-30 | 2013-10-02 | 中山大学 | Breathing machine control method and breathing machine apply control method |
| CN103608062A (en) * | 2011-03-18 | 2014-02-26 | 马奎特紧急护理公司 | Breathing apparatus and method for support ventilation |
| CN103920214A (en) * | 2014-04-28 | 2014-07-16 | 深圳市帝迈生物技术有限公司 | Breathing machine and breathing pressure regulating control system and regulating control method thereof |
| CN103920215A (en) * | 2014-05-04 | 2014-07-16 | 湖南明康中锦医疗科技发展有限公司 | Method for supplying gas to patient through gas stream generator |
| CN105031787A (en) * | 2015-07-14 | 2015-11-11 | 湖南明康中锦医疗科技发展有限公司 | Breathing machine and turbine control system |
| CN105457135A (en) * | 2015-12-28 | 2016-04-06 | 湖南明康中锦医疗科技发展有限公司 | Breathing machine pressure adjustment method and device and breathing machine |
| CN105771047A (en) * | 2016-04-19 | 2016-07-20 | 湖南明康中锦医疗科技发展有限公司 | Method for adjusting positive pressure of breathing machine airway |
| CN105854141A (en) * | 2016-05-05 | 2016-08-17 | 湖南明康中锦医疗科技发展有限公司 | Respiratory triggering conversion method and device |
| CN106540363A (en) * | 2016-11-03 | 2017-03-29 | 湖南明康中锦医疗科技发展有限公司 | The method and respirator of identification of breathing conversion |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7246618B2 (en) * | 2001-06-21 | 2007-07-24 | Nader Maher Habashi | Ventilation method and control of a ventilator based on same |
-
2017
- 2017-04-11 CN CN201710232460.0A patent/CN106975134B/en active Active
Patent Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6532960B1 (en) * | 2000-07-10 | 2003-03-18 | Respironics, Inc. | Automatic rise time adjustment for bi-level pressure support system |
| CN101318046A (en) * | 2007-06-04 | 2008-12-10 | 德拉格医疗股份两合公司 | Operating breathing and/or anaesthetizing apparatus in aprv mode involves detecting spontaneous expiration effort, initiating pressure release phase if detected spontaneous expiration effort occurs in |
| CN102245243A (en) * | 2008-12-09 | 2011-11-16 | 皇家飞利浦电子股份有限公司 | Automatic rise time adjustment |
| CN103608062A (en) * | 2011-03-18 | 2014-02-26 | 马奎特紧急护理公司 | Breathing apparatus and method for support ventilation |
| CN103182121A (en) * | 2011-12-30 | 2013-07-03 | 北京谊安医疗系统股份有限公司 | Pressure trigger control method for breathing machine |
| CN103182120A (en) * | 2011-12-30 | 2013-07-03 | 北京谊安医疗系统股份有限公司 | Method and device for man-machine synchronization of invasive respirator in noninvasive ventilation mode |
| CN103330979A (en) * | 2013-05-30 | 2013-10-02 | 中山大学 | Breathing machine control method and breathing machine apply control method |
| CN103920214A (en) * | 2014-04-28 | 2014-07-16 | 深圳市帝迈生物技术有限公司 | Breathing machine and breathing pressure regulating control system and regulating control method thereof |
| CN103920215A (en) * | 2014-05-04 | 2014-07-16 | 湖南明康中锦医疗科技发展有限公司 | Method for supplying gas to patient through gas stream generator |
| CN105031787A (en) * | 2015-07-14 | 2015-11-11 | 湖南明康中锦医疗科技发展有限公司 | Breathing machine and turbine control system |
| CN105457135A (en) * | 2015-12-28 | 2016-04-06 | 湖南明康中锦医疗科技发展有限公司 | Breathing machine pressure adjustment method and device and breathing machine |
| CN105771047A (en) * | 2016-04-19 | 2016-07-20 | 湖南明康中锦医疗科技发展有限公司 | Method for adjusting positive pressure of breathing machine airway |
| CN105854141A (en) * | 2016-05-05 | 2016-08-17 | 湖南明康中锦医疗科技发展有限公司 | Respiratory triggering conversion method and device |
| CN106540363A (en) * | 2016-11-03 | 2017-03-29 | 湖南明康中锦医疗科技发展有限公司 | The method and respirator of identification of breathing conversion |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106975134A (en) | 2017-07-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN106975134B (en) | Method and device for adjusting replacement point of respirator and noninvasive respirator | |
| US8272379B2 (en) | Leak-compensated flow triggering and cycling in medical ventilators | |
| JP5873021B2 (en) | A suction system for removing secretions from the respiratory tract of ventilator wearers | |
| CN102802710B (en) | Utilize the servo-ventilation that negative pressure is supported | |
| EP2401016B1 (en) | Patient-ventilator dyssynchrony detection | |
| JP6263555B2 (en) | Automatic adjustment system of pressure set by breathing device | |
| JP6165632B2 (en) | System and method for providing forced inspiration-expiration to a subject | |
| US20130053717A1 (en) | Automatic ventilator challenge to induce spontaneous breathing efforts | |
| US10918339B2 (en) | Weaning from ventilation using capnography | |
| EP2417993A3 (en) | Methods for providing expiratory pressure relief in positive airway pressure therapy | |
| JP2017512080A (en) | Real-time detection of periodic breathing | |
| CN101043913A (en) | Method and apparatus for detecting ineffective inspiratory efforts and improving patient-ventilator interaction | |
| JP4212778B2 (en) | Positive pressure ventilator | |
| US12109038B2 (en) | Systems and methods for using breath events in sleep staging | |
| JP2014506163A5 (en) | ||
| CN109718440A (en) | Reduce the method and system of Breathing Suppotion equipment man-machine confrontation | |
| CN110975089A (en) | Tidal volume calculation method and device, storage medium and breathing machine | |
| CN110035780A (en) | System for removing removing carbon dioxide | |
| CN114209940B (en) | Breathing phase control method of breathing machine based on dynamic threshold | |
| CN108290019B (en) | Method and apparatus for treating ataxic breathing | |
| CN106267494B (en) | Ventilator parameter method of adjustment and ventilator based on inspiratory effort degree | |
| CN106840734B (en) | Method and device for evaluating following performance of respirator and noninvasive respirator | |
| EP4268870A1 (en) | High flow respiratory therapy device and method through breath synchronization | |
| CN110180060A (en) | Breathing Suppotion equipment respiration case monitors system | |
| CN106975135B (en) | Method and device for air leakage compensation of respirator and noninvasive respirator |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CP03 | Change of name, title or address | ||
| CP03 | Change of name, title or address |
Address after: 410205 Room 101, 1st floor, north of superstar entrepreneurship base, No. 8 Lujing Road, high tech Development Zone, Changsha, Hunan Patentee after: Hunan Mingkang Zhongjin Medical Technology Co.,Ltd. Address before: 410000 101, North 1st floor, giant star entrepreneurship base, No. 8 Lujing Road, high tech Development Zone, Changsha City, Hunan Province Patentee before: HUNAN MICOME ZHONGJIN MEDICAL SCIENCE & TECHNOLOGY DEVELOPMENT Co.,Ltd. |