CN107785065B - Method and system for adjusting operating parameters of a ventilator - Google Patents

Method and system for adjusting operating parameters of a ventilator Download PDF

Info

Publication number
CN107785065B
CN107785065B CN201710911582.2A CN201710911582A CN107785065B CN 107785065 B CN107785065 B CN 107785065B CN 201710911582 A CN201710911582 A CN 201710911582A CN 107785065 B CN107785065 B CN 107785065B
Authority
CN
China
Prior art keywords
difference
parameter
adjusted
adjusting
breathing machine
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
Application number
CN201710911582.2A
Other languages
Chinese (zh)
Other versions
CN107785065A (en
Inventor
马宇飞
孟庆凯
张晓超
庄志
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.)
BMC Medical Co Ltd
Original Assignee
BMC Medical Co Ltd
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 BMC Medical Co Ltd filed Critical BMC Medical Co Ltd
Priority to CN201710911582.2A priority Critical patent/CN107785065B/en
Publication of CN107785065A publication Critical patent/CN107785065A/en
Application granted granted Critical
Publication of CN107785065B publication Critical patent/CN107785065B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Abstract

The embodiment of the invention provides a method and a system for adjusting operating parameters of a breathing machine, belongs to the technical field of breathing machines, and solves the problem that a doctor consumes long time in the evaluation and judgment process. The method comprises the following steps: obtaining the operating parameters to be adjusted of the used breathing machine according to the past medical history and the physical sign information of the patient, and first physiological treatment data and first operating parameters of the used breathing machine which are acquired at intervals of first preset time; modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted; and adjusting the operating parameters of the breathing machine according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and a standard value, wherein the standard value is standard physiological treatment data of the patient acquired according to the past medical history and physical sign information of the patient. The embodiment of the invention is suitable for adjusting the operating parameters of the breathing machine.

Description

Method and system for adjusting operating parameters of a ventilator
Technical Field
The invention relates to the technical field of breathing machines, in particular to a method and a system for adjusting operating parameters of a breathing machine.
Background
Chronic obstructive pulmonary disease (abbreviated as chronic obstructive pulmonary disease) is the most main chronic respiratory disease in China, respiratory failure (abbreviated as failure) is a serious complication of the chronic obstructive pulmonary disease, the incidence rate of the chronic obstructive pulmonary disease of people over 40 years old reaches 9.9 percent, 6400 million patients with chronic obstructive pulmonary disease belong to about 1000 million patients with severe and extremely severe chronic obstructive pulmonary disease in China. Among them, patients with chronic obstructive pulmonary disease often have chronic respiratory failure or acute respiratory failure due to acute exacerbation, which causes severe disease burden. Therefore, in the prior art, the existing networked breathing machine and the cloud platform management system are used, breathing machine data are uploaded to the cloud platform in the process of using the breathing machine, medical personnel check the using data of a patient through the cloud platform, and the operating parameters of the breathing machine are remotely adjusted according to the illness state of the patient. And after the operation parameters are adjusted, the use condition of the patient is observed again.
The inventor of the present application finds that the above solution of the prior art has the following defects in the process of implementing the present invention: it takes time for a doctor to review and evaluate the patient's history, which is time consuming.
Disclosure of Invention
The embodiment of the invention aims to provide a method and a system for adjusting operating parameters of a breathing machine, which solve the problem that a doctor takes long time in an evaluation and judgment process, reduce the interpretation time of the doctor on a patient and improve the diagnosis and treatment efficiency.
In order to achieve the above object, an embodiment of the present invention provides a method for adjusting an operating parameter of a ventilator, including:
obtaining the operating parameters to be adjusted of the used breathing machine according to the past medical history and the physical sign information of the patient, and first physiological treatment data and first operating parameters of the used breathing machine which are acquired at intervals of first preset time;
modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
and adjusting the operating parameters of the breathing machine according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and a standard value, wherein the standard value is standard physiological treatment data of the patient acquired according to the past medical history and physical sign information of the patient.
Further, before the obtaining of the to-be-adjusted operating parameters of the ventilator, the method further includes:
acquiring physiological treatment statistical data of a preset time period of a patient and operating parameter statistical data of a used respirator;
and obtaining the safe operation parameters of the breathing machine according to the physiological treatment statistical data and the operation parameter statistical data.
Further, the adjusting the operating parameters of the ventilator according to the first physiological therapy data, the second physiological therapy data acquired at a second preset time interval and the standard value includes:
acquiring second physiological treatment data of the patient at intervals of second preset time;
determining a first difference between the first physiological treatment data and the standard value and a second difference between the second physiological treatment data and the standard value;
and adjusting the operating parameters of the breathing machine according to the comparison result of the first difference and the second difference.
Further, the adjusting the operating parameter of the ventilator according to the comparison result of the first difference and the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
and when the second difference is larger than or equal to the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
Further, after obtaining the operational parameters to be adjusted of the ventilator, the method further comprises:
acquiring a plurality of to-be-adjusted operating parameters of ventilators corresponding to a plurality of patients;
classifying the plurality of operation parameters to be adjusted according to preset categories;
and selecting a median of the to-be-adjusted operation parameters in the appointed category, and determining the median as a second operation parameter, wherein the appointed category is the category of the to-be-adjusted operation parameters of the used breathing machine.
Further, the adjusting the operating parameter of the ventilator according to the comparison result of the first difference and the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used breathing machine to be the second operating parameter;
and when the second difference is smaller than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
Further, after the adjusting the to-be-adjusted operating parameter of the ventilator to be used to the second operating parameter, the method further comprises:
acquiring third physiological treatment data of the patient at intervals of a third preset time;
determining a third difference between the third physiological treatment data and the standard value;
when the third difference is smaller than the first difference, controlling the breathing machine to continuously operate at the second operation parameter;
and when the third difference is larger than or equal to the first difference, adjusting the second operation parameter of the used breathing machine to be the operation parameter to be adjusted.
Further, after obtaining the operational parameters to be adjusted of the ventilator, the method further comprises:
obtaining adjusted physiological treatment data according to the first physiological treatment data and an adjusting parameter, wherein the adjusting parameter is related to the severity of the illness state of the patient;
and obtaining a third operating parameter of the breathing machine according to the past medical history, the physical sign information, the first operating parameter and the adjusted physiological treatment data of the patient.
Further, the adjusting the operating parameter of the ventilator according to the comparison result of the first difference and the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to be the third operating parameter;
and when the second difference is smaller than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
Further, after the adjusting the to-be-adjusted operating parameter of the ventilator to be used to the third operating parameter, the method further comprises:
acquiring fourth physiological treatment data of the patient at a fourth preset time interval;
determining a fourth difference between the fourth physiological treatment data and the standard value;
when the fourth difference is smaller than the first difference, controlling the breathing machine to continuously operate at the third operation parameter;
and when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
An embodiment of the present invention further provides a system for adjusting an operating parameter of a ventilator, including:
the to-be-adjusted operation parameter determining unit is used for obtaining the to-be-adjusted operation parameter of the used breathing machine according to the previous medical history and the physical sign information of the patient, and first physiological treatment data and the first operation parameter of the used breathing machine which are acquired at intervals of first preset time;
the parameter modifying unit is used for modifying the first operating parameter of the breathing machine into the operating parameter to be adjusted;
and the parameter adjusting unit is used for adjusting the operating parameters of the breathing machine according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and standard values, wherein the standard values are standard physiological treatment data of the patient obtained according to the past medical history and the physical sign information of the patient.
Further, the system further comprises:
the first acquisition unit is used for acquiring physiological treatment statistical data of a preset time period of a patient and operation parameter statistical data of a breathing machine;
and the safe operation parameter determining unit is used for obtaining the safe operation parameters of the breathing machine according to the physiological treatment statistical data and the operation parameter statistical data.
Further, the parameter adjusting unit includes:
the acquisition module is used for acquiring second physiological treatment data of the patient at intervals of second preset time;
a difference determination module to determine a first difference between the first physiological treatment data and the normative value, and a second difference between the second physiological treatment data and the normative value;
and the parameter adjusting module is used for adjusting the operating parameters of the breathing machine according to the comparison result of the first difference and the second difference.
Further, the system further comprises:
the acquisition unit is used for acquiring a plurality of to-be-adjusted operation parameters of the breathing machine corresponding to a plurality of patients;
the classification unit is used for classifying the plurality of operation parameters to be dispatched according to preset categories;
and the second operation parameter determination unit is used for selecting the median of the operation parameters to be adjusted in the specified category and determining the median as the second operation parameter, wherein the specified category is the category of the operation parameters to be adjusted of the breathing machine.
Further, the system further comprises:
the second acquisition unit is used for acquiring third physiological treatment data of the patient at intervals of third preset time;
a difference determination unit for determining a third difference between the third physiological treatment data and the standard value;
the parameter adjusting unit is further used for controlling the breathing machine to continuously operate at the second operation parameter when the third difference is smaller than the first difference; or when the third difference is larger than or equal to the first difference, adjusting the second operating parameter of the used breathing machine to the operating parameter to be adjusted.
Further, the system further comprises:
the treatment data determining unit is used for obtaining the adjusted physiological treatment data according to the first physiological treatment data and the adjusting parameters, and the adjusting parameters are related to the severity of the illness state of the patient;
and the third operating parameter determining unit is used for obtaining a third operating parameter of the used breathing machine according to the past medical history of the patient, the physical sign information, the first operating parameter and the adjusted physiological treatment data.
Further, the system further comprises:
the third acquisition unit is used for acquiring fourth physiological treatment data of the patient at intervals of fourth preset time;
the difference determination unit is further configured to determine a fourth difference between the fourth physiological treatment data and the standard value;
the parameter adjusting unit is further configured to control the ventilator to continue to operate at the third operating parameter when the fourth difference is smaller than the first difference; or when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
According to the technical scheme, the operating parameters to be adjusted of the breathing machine are obtained according to the past medical history and sign information of a patient, first physiological treatment data acquired at intervals of first preset time and first operating parameters of the breathing machine, the first operating parameters of the breathing machine are modified into the operating parameters to be adjusted, and then the operating parameters of the breathing machine are adjusted according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and standard values. The embodiment of the invention solves the problem of long time consumption in the evaluation and judgment process of doctors, reduces the interpretation time of the doctors on patients and improves the diagnosis and treatment efficiency.
Additional features and advantages of embodiments of the invention will be set forth in the detailed description which follows.
Drawings
The accompanying drawings, which are included to provide a further understanding of the embodiments of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the embodiments of the invention without limiting the embodiments of the invention. In the drawings:
FIG. 1 is a flow chart of a method for adjusting operating parameters of a ventilator provided by an embodiment of the present invention;
FIG. 2 is a flow chart of another method for adjusting operating parameters of a ventilator provided by an embodiment of the present invention;
FIG. 3 is a flow chart of yet another method for adjusting operating parameters of a ventilator provided by an embodiment of the present invention;
FIG. 4 is a flow chart of yet another method for adjusting operating parameters of a ventilator provided by an embodiment of the present invention;
FIG. 5 is a block diagram of a system for adjusting operating parameters of a ventilator provided in accordance with an embodiment of the present invention;
FIG. 6 is a block diagram of yet another system for adjusting operating parameters of a ventilator in accordance with an embodiment of the present invention;
FIG. 7 is a block diagram of another system for adjusting operating parameters of a ventilator provided in accordance with an embodiment of the present invention;
FIG. 8 is a block diagram of yet another system for adjusting operating parameters of a ventilator in accordance with an embodiment of the present invention;
FIG. 9 is a block diagram of yet another system for adjusting operating parameters of a ventilator provided in accordance with an embodiment of the present invention;
FIG. 10 is a block diagram of yet another system for adjusting operating parameters of a ventilator in accordance with an embodiment of the present invention;
FIG. 11 is a block diagram of another system for adjusting operating parameters of a ventilator provided in accordance with an embodiment of the present invention;
fig. 12 is a block diagram of another system for adjusting operating parameters of a ventilator, according to an embodiment of the present invention.
Detailed Description
The following detailed description of embodiments of the invention refers to the accompanying drawings. It should be understood that the detailed description and specific examples, while indicating embodiments of the invention, are given by way of illustration and explanation only, not limitation.
The breathing machine purchased by the patient is connected with the service platform through the network, the service platform can acquire the operation parameters on the breathing machine and the physiological treatment data when the patient uses the corresponding breathing machine, wherein the operation parameters comprise parameters such as inspiratory pressure and expiratory pressure, and the physiological treatment data comprise blood oxygen, pulse rate, tidal volume, respiratory frequency, minute ventilation volume, air leakage volume and the like. Fig. 1 is a flowchart of a method for adjusting operating parameters of a ventilator according to an embodiment of the present invention. The method is applied to the service platform, and as shown in fig. 1, the method includes the following steps:
101. and obtaining the operating parameters to be adjusted of the used breathing machine according to the past medical history and the physical sign information of the patient, the first physiological treatment data acquired at intervals of first preset time and the first operating parameters of the used breathing machine.
In order to ensure that the treatment effect of the patient can be better and better after the patient uses the ventilator, the operating parameters of the ventilator used, such as the inspiratory pressure and the expiratory pressure of the ventilator, are adjusted at set intervals, and the specific operating parameters of the ventilator are not limited herein.
In addition, before using the ventilator, the past medical history of the patient and the physical sign information are input into the service platform, wherein the physical sign information comprises basic information of personal conditions such as the age, the height and the weight of the patient.
After the patient uses the ventilator, first physiological treatment data and first operating parameters of the ventilator are acquired at a first preset time interval. The first preset time can be set to 3-5 days, if the first preset time is too long, the treatment effect of the patient can be affected, and if the first preset time is too short, the adjustment of the operating parameters of the breathing machine is too frequent, and the use of the patient can also be affected, so that the condition of the patient and the use condition of the patient need to be considered for the setting of the first preset time.
And obtaining the to-be-adjusted operation parameters of the breathing machine by combining the past medical history, the physical sign information, the first physiological treatment data and the first operation parameters of the patient, so that the patient can achieve a better treatment effect through the breathing machine operated by the to-be-adjusted operation parameters.
102. Modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
103. and adjusting the operating parameters of the breathing machine according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and a standard value, wherein the standard value is standard physiological treatment data of the patient acquired according to the past medical history and physical sign information of the patient.
And after the operating parameter of the breathing machine is changed from the first operating parameter to the operating parameter to be adjusted, the treatment effect of the patient is checked at intervals of second preset time.
In addition, physiological treatment statistical data of a patient in a preset time period and operation parameter statistical data of the used breathing machine are obtained, and then safe operation parameters of the used breathing machine are obtained according to the physiological treatment statistical data and the operation parameter statistical data. The acquired physiological treatment statistical data and the acquired operation parameter statistical data of the breathing machine can be close to the real state of an illness of a patient as much as possible by setting the preset time period, so that when the breathing machine treats the patient with the safe operation parameters, the treatment effect of the patient can be ensured not to be deteriorated, and the safe operation parameters can be understood as the safe and conservative operation parameters of the breathing machine.
The standard value is standard physiological treatment data which is obtained in advance according to the past medical history and the physical sign information of the patient and comprises data of blood oxygen, pulse rate, tidal volume, respiratory rate, minute ventilation volume, air leakage and the like. And determining the treatment effect of the patient by using the standard value, wherein the closer the acquired physiological treatment data of the patient is to the corresponding standard value, the better the treatment effect is, and otherwise, the worse the treatment effect is.
For step 103, after the ventilator is set to treat the patient by using the to-be-adjusted operation parameter, second physiological treatment data of the patient is acquired at a second preset time interval, so as to check the treatment effect of the patient. Then, a first difference value between the first physiological treatment data and the standard value and a second difference value between the second physiological treatment data and the standard value are determined, and the operating parameter of the used breathing machine is adjusted according to the comparison result of the first difference value and the second difference value. I.e., the first physiological treatment data is obtained while operating the ventilator under consideration with the first operating parameter, and the second physiological treatment data is obtained while operating the ventilator under consideration with the operating parameter to be adjusted, by comparing the difference between the two and the standard value, the effect of the treatment after using the operating parameter to be adjusted is determined, thereby adjusting the operating parameter of the ventilator under consideration.
According to the embodiment of the invention, firstly, the to-be-adjusted operating parameter of the used breathing machine is obtained according to the past medical history and sign information of a patient, as well as first physiological treatment data acquired at intervals of first preset time and a first operating parameter of a corresponding breathing machine, the first operating parameter of the used breathing machine is modified into the to-be-adjusted operating parameter, and then the operating parameter of the used breathing machine is adjusted according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and a standard value. The embodiment of the invention solves the problem of long time consumption in the evaluation and judgment process of doctors, reduces the interpretation time of the doctors on patients and improves the diagnosis and treatment efficiency.
In one embodiment of the present invention, as shown in fig. 2, the method comprises the following steps:
201. obtaining the operating parameters to be adjusted of the breathing machine according to the past medical history and the physical sign information of the patient, first physiological treatment data acquired at intervals of first preset time and first operating parameters of the corresponding breathing machine;
202. modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
203. acquiring second physiological treatment data of the patient at intervals of second preset time;
204. determining a first difference between the first physiological treatment data and the standard value and a second difference between the second physiological treatment data and the standard value;
205. judging whether the second difference value is smaller than the first difference value;
206. when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
207. and when the second difference is larger than or equal to the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
When the second difference is smaller than the first difference, the obtained second physiological treatment data is closer to the standard value after the used respirator operates according to the operation parameter to be adjusted, namely the treatment effect of the patient is improved after the operation parameter to be adjusted is used, and then the used respirator is controlled to continue to operate according to the operation parameter to be adjusted; on the contrary, when the second difference is greater than or equal to the first difference, which indicates that the second physiological treatment data obtained after the ventilator operates with the operation parameter to be adjusted is far from the standard value compared with the first physiological treatment data, that is, the treatment effect of the patient is not improved after the operation parameter to be adjusted, the operation parameter to be adjusted of the ventilator is adjusted to the safe operation parameter.
The operation parameters to be adjusted are not fixed parameters but parameters which are changed at intervals of first preset time, and the parameters can be changed at intervals according to the actual use condition of the patient, so that the operation parameters to be adjusted which are more suitable for the patient are obtained.
In another embodiment of the present invention, as shown in fig. 3, the method comprises the following steps:
301. obtaining the operating parameters to be adjusted of the breathing machine according to the past medical history and the physical sign information of the patient, first physiological treatment data acquired at intervals of first preset time and first operating parameters of the corresponding breathing machine;
302. modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
303. acquiring second physiological treatment data of the patient at intervals of second preset time;
304. determining a first difference between the first physiological treatment data and the standard value and a second difference between the second physiological treatment data and the standard value;
305. judging whether the second difference value is smaller than the first difference value;
306. and when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the to-be-adjusted operation parameter.
And if the treatment effect is improved, controlling the used breathing machine to continuously operate according to the operation parameters to be adjusted.
The processing manner of the steps 301-306 can refer to the steps 201-206 in fig. 2.
307. And when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used breathing machine to be the second operating parameter.
The second operation parameter is obtained by collecting a plurality of to-be-adjusted operation parameters of the breathing machine corresponding to a plurality of patients, classifying the plurality of to-be-adjusted operation parameters according to preset categories, and determining the median of the to-be-adjusted operation parameters in the same category as the second operation parameter.
The service platform collects a plurality of to-be-adjusted operation parameters of ventilators used by a plurality of patients, and then classifies the plurality of to-be-adjusted operation parameters according to preset categories, wherein the preset categories can be regions, ages, disease types, sexes and the like, and are not limited to specific categories and can be determined according to specific needs. And then selecting a median of the operation parameters to be adjusted in the appointed category, and determining the median as a second operation parameter, wherein the appointed category is the category of the operation parameters to be adjusted of the breathing machine. The selection of the median can avoid the influence of over-high and over-low data on the whole operation parameters.
308. And when the second difference is larger than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
In addition, after the operating parameter to be adjusted of the ventilator is adjusted to the second operating parameter, the method further comprises the following steps:
309. acquiring third physiological treatment data of the patient at intervals of a third preset time;
310. determining a third difference between the third physiological treatment data and the standard value;
311. judging whether the third difference value is smaller than the first difference value;
312. when the third difference is smaller than the first difference, controlling the breathing machine to continuously operate at the second operation parameter;
313. and when the third difference is larger than or equal to the first difference, adjusting the second operation parameter of the used breathing machine to be the operation parameter to be adjusted.
After the second operation parameter of the ventilator is adjusted to the to-be-adjusted operation parameter, the treatment effect may be further continuously checked, and if the treatment effect continues to decrease, the to-be-adjusted operation parameter of the ventilator is adjusted to the safe operation parameter, which may be processed in the manner of step 202 and step 207 in fig. 2 in the previous embodiment, and is not described herein again.
It should be noted that, since the to-be-scheduled operation parameter is not a fixed parameter but a parameter that changes at the interval of the first preset time, the second operation parameter obtained according to the plurality of to-be-scheduled operation parameters is also not a fixed parameter and may change along with the change of the to-be-scheduled operation parameter.
In another embodiment of the present invention, as shown in fig. 4, the method comprises the following steps:
401. obtaining the operating parameters to be adjusted of the breathing machine according to the past medical history and the physical sign information of the patient, first physiological treatment data acquired at intervals of first preset time and first operating parameters of the corresponding breathing machine;
402. modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
403. acquiring second physiological treatment data of the patient at intervals of second preset time;
404. determining a first difference between the first physiological treatment data and the standard value and a second difference between the second physiological treatment data and the standard value;
405. judging whether the second difference value is smaller than the first difference value;
406. and when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the to-be-adjusted operation parameter.
And if the treatment effect is improved, controlling the used breathing machine to continuously operate according to the operation parameters to be adjusted.
The processing manner of the steps 401-406 can refer to the steps 201-206 in fig. 2.
407. And when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used breathing machine to be the third operating parameter.
The third operating parameter is adjusted physiological treatment data obtained according to the first physiological treatment data and an adjusting parameter, the adjusting parameter is related to the severity of the illness of the patient, and then the third operating parameter of the breathing machine is obtained according to the past medical history, the physical sign information, the first operating parameter and the adjusted physiological treatment data of the patient.
When the patient has a relatively light illness, the adjusting parameter can be set as a first parameter, when the patient has a relatively heavy illness, the adjusting parameter is set as a second parameter, and the difference between the adjusted physiological treatment data obtained by the first physiological treatment data processed by the second parameter and the standard value is larger than that of the adjusted physiological treatment data obtained by the first parameter.
408. And when the second difference is smaller than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
In addition, after the adjustment of the to-be-adjusted operating parameter of the ventilator to the third operating parameter, the method further comprises the following steps:
409. acquiring fourth physiological treatment data of the patient at a fourth preset time interval;
410. determining a fourth difference between the fourth physiological treatment data and the standard value;
411. judging whether the fourth difference value is smaller than the first difference value;
412. when the fourth difference is smaller than the first difference, controlling the breathing machine to continuously operate at the third operation parameter;
413. and when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
After the second operation parameter of the ventilator is adjusted to the to-be-adjusted operation parameter, the treatment effect may be further continuously checked, and if the treatment effect continues to decrease, the to-be-adjusted operation parameter of the ventilator is adjusted to the safe operation parameter, which may be processed in the manner of step 202 and step 207 in fig. 2 in the previous embodiment, and is not described herein again.
In another embodiment of the invention, when the operating parameters of the ventilator used are modified, a prompt message is displayed to inform the corresponding doctor to conveniently check the condition of the patient.
Through above-mentioned embodiment, improved patient's treatment, control the probability of chronic obstructive pulmonary exacerbation, reduce patient's rate of being in hospital simultaneously, in addition, also reduced the doctor to patient's interpretation time, improve efficiency of diagnosing, carry out the modification of initiative operating parameter through patient's current service data moreover, no longer passive guarantee treatment.
Accordingly, fig. 5 is a block diagram of a system for adjusting operating parameters of a ventilator according to an embodiment of the present invention, as shown in fig. 5, the system includes:
the to-be-adjusted operation parameter determining unit 51 is configured to obtain an to-be-adjusted operation parameter of the ventilator to be adjusted according to the past medical history and the physical sign information of the patient, and the first physiological treatment data and the first operation parameter of the ventilator to be adjusted, which are acquired at intervals of a first preset time;
a parameter modifying unit 52, configured to modify a first operating parameter of the ventilator used into the operating parameter to be adjusted;
and the parameter adjusting unit 53 is configured to adjust an operating parameter of the ventilator according to the first physiological therapy data, second physiological therapy data acquired at a second preset time interval, and a standard value, where the standard value is standard physiological therapy data of the patient obtained according to the past medical history and the physical sign information of the patient.
According to the system, firstly, the to-be-adjusted operating parameter of the used respirator is obtained according to the past medical history and sign information of a patient, first physiological treatment data acquired at intervals of first preset time and a first operating parameter of the used respirator, the first operating parameter of the used respirator is modified into the to-be-adjusted operating parameter, and then the operating parameter of the used respirator is adjusted according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and a standard value. The embodiment of the invention solves the problem of long time consumption in the evaluation and judgment process of doctors, reduces the interpretation time of the doctors on patients and improves the diagnosis and treatment efficiency.
Further, as shown in fig. 6, the system further includes:
the first acquisition unit 61 is used for acquiring physiological treatment statistical data of a preset time interval of a patient and operation parameter statistical data of a breathing machine;
and a safe operation parameter determining unit 62, configured to obtain a safe operation parameter of the ventilator used according to the physiological treatment statistical data and the operation parameter statistical data.
Further, as shown in fig. 7, the parameter adjusting unit 53 includes:
an obtaining module 71, configured to obtain second physiological therapy data of the patient at a second preset time interval;
a difference determination module 72 for determining a first difference between the first physiological treatment data and the normative value, and a second difference between the second physiological treatment data and the normative value;
and the parameter adjusting module 73 is configured to adjust an operating parameter of the ventilator according to a comparison result of the first difference and the second difference.
Further, the parameter adjusting module is further configured to control the ventilator to continue to operate with the to-be-adjusted operation parameter when the second difference is smaller than the first difference; or when the second difference is larger than or equal to the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
Further, as shown in fig. 8, the system further includes:
the acquisition unit 81 is used for acquiring a plurality of to-be-adjusted operation parameters of the breathing machine corresponding to a plurality of patients;
a classifying unit 82, configured to classify the multiple to-be-tuned operation parameters according to preset categories;
and the second operation parameter determining unit 83 is configured to select a median of the operation parameters to be adjusted in the designated category, and determine the median as the second operation parameter, where the designated category is a category to which the operation parameters to be adjusted of the ventilator belong.
Further, the parameter adjusting module is further configured to control the ventilator to continue to operate with the to-be-adjusted operation parameter when the second difference is smaller than the first difference; or is used for adjusting the to-be-adjusted operating parameter of the used respirator to be the second operating parameter when the second difference value is equal to the first difference value; or when the second difference is smaller than the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
Further, as shown in fig. 9, the system further includes:
a second obtaining unit 91, configured to obtain third physiological treatment data of the patient at intervals of a third preset time;
a difference determination unit 92 for determining a third difference between the third physiological treatment data and the standard value;
the parameter adjusting unit is further used for controlling the breathing machine to continuously operate at the second operation parameter when the third difference is smaller than the first difference; or when the third difference is larger than or equal to the first difference, adjusting the second operating parameter of the used breathing machine to the operating parameter to be adjusted.
Further, as shown in fig. 10, the system further includes:
a treatment data determining unit 1001 configured to obtain adjusted physiological treatment data according to the first physiological treatment data and an adjustment parameter, where the adjustment parameter is related to a severity of an illness state of the patient;
a third operating parameter determining unit 1002, configured to obtain a third operating parameter of the ventilator used according to the past medical history of the patient, the physical sign information, the first operating parameter, and the adjusted physiological therapy data.
Further, the parameter adjusting module is further configured to control the ventilator to continue to operate with the to-be-adjusted operation parameter when the second difference is smaller than the first difference; or is used for adjusting the to-be-adjusted operating parameter of the used respirator to the third operating parameter when the second difference value is equal to the first difference value; or when the second difference is smaller than the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
Further, as shown in fig. 11, the system further includes:
a third acquiring unit 1101, configured to acquire fourth physiological therapy data of the patient at a fourth preset time interval;
the difference determination unit is further configured to determine a fourth difference between the fourth physiological treatment data and the standard value;
the parameter adjusting unit is further configured to control the ventilator to continue to operate at the third operating parameter when the fourth difference is smaller than the first difference; or when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
Further, as shown in fig. 12, the system further includes:
a prompt unit 1201 for displaying prompt information when the operating parameters of the ventilator used are modified.
The system for adjusting the operating parameters of the ventilator corresponds to the method for adjusting the operating parameters of the ventilator, and for a detailed description of the system, reference is made to the corresponding portions in the method, which are not described herein again.
Although the embodiments of the present invention have been described in detail with reference to the accompanying drawings, the embodiments of the present invention are not limited to the details of the above embodiments, and various simple modifications can be made to the technical solutions of the embodiments of the present invention within the technical idea of the embodiments of the present invention, and the simple modifications all belong to the protection scope of the embodiments of the present invention.
It should be noted that the various features described in the above embodiments may be combined in any suitable manner without departing from the scope of the invention. In order to avoid unnecessary repetition, the embodiments of the present invention do not describe every possible combination.
Those skilled in the art will understand that all or part of the steps in the method according to the above embodiments may be implemented by a program, which is stored in a storage medium and includes several instructions to enable a single chip, a chip, or a processor (processor) to execute all or part of the steps in the method according to the embodiments of the present application. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), a magnetic disk or an optical disk, and other various media capable of storing program codes.
In addition, any combination of various different implementation manners of the embodiments of the present invention is also possible, and the embodiments of the present invention should be considered as disclosed in the embodiments of the present invention as long as the combination does not depart from the spirit of the embodiments of the present invention.

Claims (14)

1. A method for adjusting operating parameters of a ventilator, comprising:
obtaining the operating parameters to be adjusted of the used breathing machine according to the past medical history and the physical sign information of the patient, and first physiological treatment data and first operating parameters of the used breathing machine which are acquired at intervals of first preset time;
modifying a first operation parameter of the used breathing machine into the operation parameter to be adjusted;
adjusting the operating parameters of the breathing machine according to the first physiological treatment data, second physiological treatment data acquired at intervals of second preset time and standard values, wherein the standard values are standard physiological treatment data of the patient obtained according to the past medical history and physical sign information of the patient,
wherein, before the obtaining of the operational parameters to be adjusted of the ventilator, the method further comprises:
acquiring physiological treatment statistical data of a preset time period of a patient and operating parameter statistical data of a used respirator;
obtaining safe operation parameters of the breathing machine according to the physiological treatment statistical data and the operation parameter statistical data;
wherein, according to the first physiological treatment data, the second physiological treatment data acquired at a second preset time interval and the standard value, adjusting the operating parameters of the breathing machine comprises:
acquiring second physiological treatment data of the patient at intervals of second preset time;
determining a first difference between the first physiological treatment data and the standard value and a second difference between the second physiological treatment data and the standard value;
adjusting the operating parameters of the breathing machine according to the comparison result of the first difference and the second difference,
wherein the adjusting the operating parameter of the ventilator according to the comparison result of the first difference and the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
and when the second difference is larger than or equal to the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
2. The method for adjusting operating parameters of a ventilator according to claim 1, wherein after said obtaining the operating parameters to be adjusted of the ventilator used, the method further comprises:
acquiring a plurality of to-be-adjusted operating parameters of ventilators corresponding to a plurality of patients;
classifying the plurality of operation parameters to be adjusted according to preset categories;
and selecting a median of the to-be-adjusted operation parameters in the appointed category, and determining the median as a second operation parameter, wherein the appointed category is the category of the to-be-adjusted operation parameters of the used breathing machine.
3. The method of claim 2, wherein adjusting the operating parameter of the ventilator used based on the comparison of the first difference to the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used breathing machine to be the second operating parameter;
and when the second difference is larger than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
4. The method for adjusting operating parameters of a ventilator according to claim 3, wherein after the adjusting of the operating parameters to be adjusted of the ventilator used to the second operating parameter, the method further comprises:
acquiring third physiological treatment data of the patient at intervals of a third preset time;
determining a third difference between the third physiological treatment data and the standard value;
when the third difference is smaller than the first difference, controlling the breathing machine to continuously operate at the second operation parameter;
and when the third difference is larger than or equal to the first difference, adjusting the second operation parameter of the used breathing machine to be the operation parameter to be adjusted.
5. The method for adjusting operating parameters of a ventilator according to claim 1, wherein after said obtaining the operating parameters to be adjusted of the ventilator used, the method further comprises:
obtaining adjusted physiological treatment data according to the first physiological treatment data and an adjusting parameter, wherein the adjusting parameter is related to the severity of the illness state of the patient;
and obtaining a third operating parameter of the breathing machine according to the past medical history, the physical sign information, the first operating parameter and the adjusted physiological treatment data of the patient.
6. The method of claim 5, wherein adjusting the operating parameter of the ventilator used based on the comparison of the first difference to the second difference comprises:
when the second difference is smaller than the first difference, controlling the breathing machine to continue to operate at the operation parameter to be adjusted;
when the second difference is equal to the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to be the third operating parameter;
and when the second difference is smaller than the first difference, adjusting the to-be-adjusted operation parameter of the used breathing machine to be the safe operation parameter.
7. The method for adjusting operating parameters of a ventilator according to claim 6, wherein after the adjusting of the operating parameters to be adjusted of the ventilator used to the third operating parameter, the method further comprises:
acquiring fourth physiological treatment data of the patient at a fourth preset time interval;
determining a fourth difference between the fourth physiological treatment data and the standard value;
when the fourth difference is smaller than the first difference, controlling the breathing machine to continuously operate at the third operation parameter;
and when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
8. A system for adjusting operating parameters of a ventilator, comprising:
the to-be-adjusted operation parameter determining unit is used for obtaining the to-be-adjusted operation parameter of the used breathing machine according to the previous medical history and the physical sign information of the patient, and first physiological treatment data and the first operation parameter of the used breathing machine which are acquired at intervals of first preset time;
the parameter modifying unit is used for modifying the first operating parameter of the breathing machine into the operating parameter to be adjusted;
a parameter adjusting unit, configured to adjust an operating parameter of the ventilator according to the first physiological therapy data, second physiological therapy data acquired at a second preset time interval, and a standard value, where the standard value is standard physiological therapy data of the patient obtained according to a past medical history and physical sign information of the patient,
wherein the system further comprises:
the first acquisition unit is used for acquiring physiological treatment statistical data of a preset time interval of a patient and operation parameter statistical data of a used respirator;
the safe operation parameter determining unit is used for obtaining the safe operation parameters of the breathing machine according to the physiological treatment statistical data and the operation parameter statistical data;
wherein the parameter adjusting unit includes:
the acquisition module is used for acquiring second physiological treatment data of the patient at intervals of second preset time;
a difference determination module to determine a first difference between the first physiological treatment data and the normative value, and a second difference between the second physiological treatment data and the normative value;
a parameter adjusting module for adjusting the operating parameters of the breathing machine according to the comparison result of the first difference and the second difference,
the parameter adjusting module is further configured to control the ventilator to continue to operate with the to-be-adjusted operation parameter when the second difference is smaller than the first difference; or when the second difference is larger than or equal to the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
9. The system for adjusting operating parameters of a ventilator according to claim 8, further comprising:
the acquisition unit is used for acquiring a plurality of to-be-adjusted operation parameters of the breathing machine corresponding to a plurality of patients;
the classification unit is used for classifying the plurality of operation parameters to be dispatched according to preset categories;
and the second operation parameter determination unit is used for selecting the median of the operation parameters to be adjusted in the specified category and determining the median as the second operation parameter, wherein the specified category is the category of the operation parameters to be adjusted of the breathing machine.
10. The system for adjusting operating parameters of a ventilator of claim 9, wherein the parameter adjustment module is further configured to control the ventilator to continue operating at the adjusted operating parameter when the second difference is less than the first difference; or is used for adjusting the to-be-adjusted operating parameter of the used respirator to be the second operating parameter when the second difference value is equal to the first difference value; or when the second difference is smaller than the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
11. The system for adjusting operating parameters of a ventilator according to claim 10, further comprising:
the second acquisition unit is used for acquiring third physiological treatment data of the patient at intervals of third preset time;
a difference determination unit for determining a third difference between the third physiological treatment data and the standard value;
the parameter adjusting unit is further used for controlling the breathing machine to continuously operate at the second operation parameter when the third difference is smaller than the first difference; or when the third difference is larger than or equal to the first difference, adjusting the second operation parameter of the used breathing machine to the operation parameter to be adjusted.
12. The system for adjusting operating parameters of a ventilator according to claim 11, further comprising:
the treatment data determining unit is used for obtaining the adjusted physiological treatment data according to the first physiological treatment data and the adjusting parameters, and the adjusting parameters are related to the severity of the illness state of the patient;
and the third operating parameter determining unit is used for obtaining a third operating parameter of the used breathing machine according to the past medical history of the patient, the physical sign information, the first operating parameter and the adjusted physiological treatment data.
13. The system for adjusting operating parameters of a ventilator of claim 12, wherein the parameter adjustment module is further configured to control the ventilator to continue operating at the adjusted operating parameter when the second difference is less than the first difference; or is used for adjusting the to-be-adjusted operating parameter of the used respirator to the third operating parameter when the second difference value is equal to the first difference value; or when the second difference is smaller than the first difference, adjusting the to-be-adjusted operating parameter of the used respirator to the safe operating parameter.
14. The system for adjusting operating parameters of a ventilator according to claim 13, further comprising:
the third acquisition unit is used for acquiring fourth physiological treatment data of the patient at intervals of fourth preset time;
the difference determination unit is further configured to determine a fourth difference between the fourth physiological treatment data and the standard value;
the parameter adjusting unit is further configured to control the ventilator to continue to operate at the third operating parameter when the fourth difference is smaller than the first difference; or when the fourth difference is larger than or equal to the first difference, adjusting the third operating parameter of the used breathing machine to be the operating parameter to be adjusted.
CN201710911582.2A 2017-09-29 2017-09-29 Method and system for adjusting operating parameters of a ventilator Active CN107785065B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710911582.2A CN107785065B (en) 2017-09-29 2017-09-29 Method and system for adjusting operating parameters of a ventilator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710911582.2A CN107785065B (en) 2017-09-29 2017-09-29 Method and system for adjusting operating parameters of a ventilator

Publications (2)

Publication Number Publication Date
CN107785065A CN107785065A (en) 2018-03-09
CN107785065B true CN107785065B (en) 2021-07-27

Family

ID=61434055

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201710911582.2A Active CN107785065B (en) 2017-09-29 2017-09-29 Method and system for adjusting operating parameters of a ventilator

Country Status (1)

Country Link
CN (1) CN107785065B (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111899862B (en) * 2020-09-08 2024-03-19 平安科技(深圳)有限公司 Breathing machine parameter acquisition method, device, equipment and storage medium

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102448529A (en) * 2009-05-28 2012-05-09 Imt信息管理科技股份有限公司 Ventilator and adjustment method therefor
CN105031786A (en) * 2015-07-13 2015-11-11 湖南明康中锦医疗科技发展有限公司 Breathing machine integrating method based on cloud platform, cloud platform and breathing machine
WO2016001651A1 (en) * 2014-06-30 2016-01-07 Boffey John Robert Powered air purifying respirator
CN106156495A (en) * 2016-06-28 2016-11-23 湖南明康中锦医疗科技发展有限公司 Method, respirator, cloud platform and the system that ventilator parameter is arranged
CN106534339A (en) * 2016-12-06 2017-03-22 天津怡和嘉业医疗科技有限公司 Information processing method and apparatus

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102448529A (en) * 2009-05-28 2012-05-09 Imt信息管理科技股份有限公司 Ventilator and adjustment method therefor
WO2016001651A1 (en) * 2014-06-30 2016-01-07 Boffey John Robert Powered air purifying respirator
CN105031786A (en) * 2015-07-13 2015-11-11 湖南明康中锦医疗科技发展有限公司 Breathing machine integrating method based on cloud platform, cloud platform and breathing machine
CN106156495A (en) * 2016-06-28 2016-11-23 湖南明康中锦医疗科技发展有限公司 Method, respirator, cloud platform and the system that ventilator parameter is arranged
CN106534339A (en) * 2016-12-06 2017-03-22 天津怡和嘉业医疗科技有限公司 Information processing method and apparatus

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Electrical activity of the diaphragm (EAdi) as a monitoring parameter in difficult weaning from respirator: a pilot study;Romero, A.; Alonso, B.; Latorre, I.; 等;《REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION》;20151127;全文 *
基于远程数字传输技术的智能家用呼吸机的研制;周绪贵;《中国优秀硕士学位论文全文数据库 工程科技Ⅱ辑》;20160215;全文 *

Also Published As

Publication number Publication date
CN107785065A (en) 2018-03-09

Similar Documents

Publication Publication Date Title
US20210085214A1 (en) Detection of sleep condition
US9554740B2 (en) Apparatus for measuring and predicting patients' respiratory stability
US11464424B2 (en) Cloud platform
CN104916069B (en) Method and apparatus for generating alarm during the patient ventilation of machinery
DE102007048774A1 (en) Detection of operation phases and / or interventions
EP1605998A1 (en) Method and arrangement for the titration of physiological measuring signals in conjunction with the observation of a patient in terms of sleep-related respiratory problems
JP2011515139A (en) Patient monitor with integrated closed-loop controller
US10537290B2 (en) Usage of observed alarm settings for alarm management
US20210154422A1 (en) Cpap management system and management method of managing a plurality of cpap devices
CN110179465A (en) Mechanical ventilation off line quantitative estimation method, device, equipment and storage medium
CN113332548A (en) Method and device for adjusting ventilation mode of breathing machine and computer readable storage medium
CN107785065B (en) Method and system for adjusting operating parameters of a ventilator
CN115735253A (en) System and method for respiratory support recommendation
US20180184945A1 (en) Method and device for detecting a worsening of the cardio- respiratory condition of a patient within a respiratory assistance device
CN116965818B (en) Abnormal emotion regulation and control method and system based on artificial intelligence
Kimura et al. Modeling recurrence in idiopathic subglottic stenosis with mobile peak expiratory flow
Jinka et al. Complications of cochlear implants: a MAUDE database study
WO2017037581A1 (en) Automated controlled-case studies and root-cause analysis for hospital quality improvement
CN113870988A (en) Anesthesia workstation operation supervisory systems based on big data analysis
CN112618895B (en) Intensive care unit respirator alarm management system and method
WO2021151331A1 (en) Method, apparatus and device for acquiring parameters of ventilator, and storage medium
TW202247863A (en) Respiratory extubation assessment system for reflecting patient's respiratory status and providing doctor with more accurate reference for extubation
WO2021195138A1 (en) System and method for assessing conditions of ventilated patients
WO2020253510A1 (en) Big data blood vessel image identification-based disease prediction system and method
CN117238434B (en) Nursing method and system based on prevention of potential complications of cardiology department

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