CN109731195A - Respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment - Google Patents

Respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment Download PDF

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Publication number
CN109731195A
CN109731195A CN201811628279.2A CN201811628279A CN109731195A CN 109731195 A CN109731195 A CN 109731195A CN 201811628279 A CN201811628279 A CN 201811628279A CN 109731195 A CN109731195 A CN 109731195A
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China
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ventilation
pressure
breathing suppotion
patient
respiration parameter
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CN201811628279.2A
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Inventor
张红宇
韩文兰
王谊冰
马睿超
范雅静
刘加龙
李凯
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Beijing Aeonmed Co Ltd
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Beijing Aeonmed Co Ltd
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Priority to CN201811628279.2A priority Critical patent/CN109731195A/en
Publication of CN109731195A publication Critical patent/CN109731195A/en
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Abstract

The present invention proposes respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment, this method comprises: obtaining the essential information of patient;The value of the respiration parameter of Breathing Suppotion equipment is determined according to essential information, to be configured to respiration parameter, respiration parameter includes at least one of the following: ventilating mode, tidal volume, pressure of inspiration(Pi) level, fraction of inspired oxygen, end-expiratory positive pressure, inspiratory duration, breath holding time, rise time, support pressure and trigger sensitivity.The present invention can the initial parameter to Breathing Suppotion equipment be arranged automatically, enable the state of an illness of Breathing Suppotion equipment Rapid matching patient, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start respiratory therapy.

Description

Respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment
Technical field
The present invention relates to field of medical technology, in particular to the respiration parameter setting method of Breathing Suppotion equipment, device and Breathing Suppotion equipment.
Background technique
Clinically, before meeting patient, doctor needs to be configured respiration parameter according to patient's state of an illness ventilator, does not conform to The respiration parameter of reason usually will increase the probability of man-machine confrontation generation, and last carbon dioxide is exhaled to increase as caused by hypoventilation, So as to cause respiratory rate accelerate or inspiratory duration it is inadequate caused by patient-ventilator asynchrony.Therefore, reasonable initial respiration parameter can To reduce the probability of man-machine confrontation.
However, patient's state of an illness is different since respiration parameter is numerous, the ventilator knowledge and ventilation support experience of doctor is irregular It is uneven, therefore, in actual clinical, initial parameter be arranged when often occur with the unmatched situation of patient, so as to cause patient Man-machine confrontation occurs after upper machine, parameter is needed by repeatedly adjustment is to adapt to patient, to influence treatment progress.
Summary of the invention
The present invention is directed at least solve one of above-mentioned technical problem.
For this purpose, the first purpose of this invention is to propose a kind of respiration parameter setting method of Breathing Suppotion equipment, it should Method can the initial parameter to Breathing Suppotion equipment be arranged automatically, enable Breathing Suppotion equipment Rapid matching patient's The state of an illness, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start respiratory therapy.
Second object of the present invention is to propose a kind of respiration parameter device of Breathing Suppotion equipment.
Third object of the present invention is to propose a kind of Breathing Suppotion equipment.
To achieve the goals above, the embodiment of first aspect present invention proposes a kind of breathing ginseng of Breathing Suppotion equipment Number setting method, comprising the following steps: obtain the essential information of patient;The breathing is determined according to the essential information of the patient The value of the respiration parameter of holding equipment, to be configured to the respiration parameter, wherein the respiration parameter include it is following at least One: ventilating mode, tidal volume, pressure of inspiration(Pi) level, fraction of inspired oxygen, end-expiratory positive pressure, inspiratory duration, breath holding time, on Rise time, support pressure and trigger sensitivity.
The respiration parameter setting method of Breathing Suppotion equipment according to an embodiment of the present invention, obtains the essential information of patient, The value for being suitable for the respiration parameter of the patient is determined according to essential information, and respiration parameter is set accordingly, so as to according to patient The initial parameter of Breathing Suppotion equipment is arranged in individual instances automatically, enables Breathing Suppotion equipment Rapid matching patient's The state of an illness, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start respiratory therapy.
In addition, the respiration parameter setting method of Breathing Suppotion equipment according to the above embodiment of the present invention can also have as Under additional technical characteristic:
In some instances, the essential information includes ventilation preference and is intubated tracheal tampon state, described according to The essential information of patient determines the value of the respiration parameter of the Breathing Suppotion equipment, to be configured to the respiration parameter, into If a step includes: that the ventilation preference is pressure controlled ventilation, the intubation tracheal tampon state is judged, if the intubation Tracheal tampon state is without intubation tracheal tampon, then cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode It ventilates;If the ventilation preference is volume controlled ventilation, opens volume controlled ventilation mode and ventilate.
In some instances, the method, further includes: if the ventilation preference is volume controlled ventilation, according to pre- If weight and preset lung preversation ventilation strategies, determine the tidal volume;If the ventilation preference is pressure controlled ventilation, It is horizontal that the pressure of inspiration(Pi) is horizontally placed to default pressure of inspiration(Pi).
In some instances, the essential information further includes the age of patient, the method also includes: according to the patient Age determine correspond to the patient standard ventilation control frequency and standard blood oxygen saturation range lower limit value, and according to The logical of the Breathing Suppotion equipment is arranged in the lower limit value of the standard ventilation control frequency and the standard blood oxygen saturation range Gas control frequency.
In some instances, the essential information of the patient further includes the blood pressure of patient, the method also includes: if institute The lower limit value that blood pressure is lower than default blood pressure range is stated, then sets default end-expiratory positive pressure value for the end-expiratory positive pressure, and will The fraction of inspired oxygen raises preset value.
In some instances, further includes: the current ventilation according to the inspiratory/expiratory of Breathing Suppotion equipment and after being provided with is controlled Frequency processed determines the inspiratory duration;Maximum value between the inspiratory duration and the sum of products preset time of preset ratio is made For the breath holding time;The default rise time is set by the rise time;Default is set by the support pressure to support Pressure;The trigger sensitivity is determined according to triggering type, comprising: sets preset pressure triggering spirit for pressure activated sensitivity Flow triggering sensitivity is set preset flow trigger sensitivity by sensitivity.
To achieve the goals above, the embodiment of second aspect of the present invention proposes a kind of breathing ginseng of Breathing Suppotion equipment Number setting device, comprising: module is obtained, for obtaining the essential information of patient;Setup module, for the base according to the patient This information determines the value of the respiration parameter of the Breathing Suppotion equipment, to be configured to the respiration parameter, wherein described to exhale It inhales parameter and includes at least one of the following: ventilating mode, tidal volume, pressure of inspiration(Pi) level, fraction of inspired oxygen, end-expiratory positive pressure, suction Gas time, breath holding time, rise time, support pressure and trigger sensitivity.
Device is arranged in the respiration parameter of Breathing Suppotion equipment according to an embodiment of the present invention, obtains the essential information of patient, The value for being suitable for the respiration parameter of the patient is determined according to essential information, and respiration parameter is set accordingly, so as to according to patient The initial parameter of Breathing Suppotion equipment is arranged in individual instances automatically, enables Breathing Suppotion equipment Rapid matching patient's The state of an illness, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start respiratory therapy.
In addition, Breathing Suppotion equipment according to the above embodiment of the present invention respiration parameter setting device can also have as Under additional technical characteristic:
In some instances, the essential information includes ventilation preference and intubation tracheal tampon state, the setup module For: when the ventilation preference is pressure controlled ventilation, the intubation tracheal tampon state is judged, when the intubation air pipe sleeve When cryptomere state is without intubation tracheal tampon, cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode and is led to Gas;When the ventilation preference is volume controlled ventilation, opens volume controlled ventilation mode and ventilate.
In some instances, the setup module is also used to: when the ventilation preference is volume controlled ventilation, according to pre- If weight and preset lung preversation ventilation strategies, determine the tidal volume;It, will when the ventilation preference is pressure controlled ventilation It is horizontal that the pressure of inspiration(Pi) is horizontally placed to default pressure of inspiration(Pi).
To achieve the goals above, the embodiment of third aspect present invention proposes a kind of Breathing Suppotion equipment, including this Invent the respiration parameter device of Breathing Suppotion equipment described in above-mentioned second aspect embodiment.
Breathing Suppotion equipment according to an embodiment of the present invention, can be according to individual patients situation to the first of Breathing Suppotion equipment Beginning parameter is arranged automatically, enables the state of an illness of Breathing Suppotion equipment Rapid matching patient, to reduce the general of man-machine confrontation Rate keeps patient quickly synchronous with Breathing Suppotion equipment and starts respiratory therapy.
Additional aspect and advantage of the invention will be set forth in part in the description, and will partially become from the following description Obviously, or practice through the invention is recognized.
Detailed description of the invention
Above-mentioned and/or additional aspect of the invention and advantage will become from the description of the embodiment in conjunction with the following figures Obviously and it is readily appreciated that, in which:
Fig. 1 is the flow chart of the respiration parameter setting method of Breathing Suppotion equipment according to an embodiment of the invention;
Fig. 2 is the structural block diagram of the respiration parameter setting device of Breathing Suppotion equipment according to an embodiment of the invention.
Specific embodiment
The embodiment of the present invention is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached The embodiment of figure description is exemplary, and for explaining only the invention, and is not considered as limiting the invention.
In the description of the present invention, it is to be understood that, term " center ", " longitudinal direction ", " transverse direction ", "upper", "lower", The orientation or positional relationship of the instructions such as "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outside" is It is based on the orientation or positional relationship shown in the drawings, is merely for convenience of description of the present invention and simplification of the description, rather than instruction or dark Show that signified device or element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as pair Limitation of the invention.In addition, term " first ", " second " are used for description purposes only, it is not understood to indicate or imply opposite Importance.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also can be indirectly connected through an intermediary Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition Concrete meaning in invention.
Respiration parameter setting method, the device of Breathing Suppotion equipment according to an embodiment of the present invention are described below in conjunction with attached drawing And Breathing Suppotion equipment.
Breathing Suppotion equipment in the embodiment of the present invention for ventilator, Anesthesia machine and can have the function of Breathing Suppotion Other equipment.
Fig. 1 is the flow chart of the respiration parameter setting method of Breathing Suppotion equipment according to an embodiment of the invention.Such as Shown in Fig. 1, method includes the following steps:
Step S1: the essential information of patient is obtained.Optionally, the essential information of patient includes at least one of the following: ventilation Preference, intubation tracheal tampon state, age, gender, height, weight, autonomous respiration frequency (self-controlled Respiratory rate, sRR), the patient's condition, blood oxygen saturation and blood pressure.In a particular embodiment, ventilation preference and intubation tracheae Cuff state needs doctor to select, and other essential informations can be inquired by medical information system and be obtained, can also be by Doctor is manually entered.Blood oxygen is saturated SpO2 and blood pressure BP can be by communicating acquisition with patient monitor, can also be by Breathing Suppotion equipment Related sensor monitors to obtain, and can also be manually entered by doctor.Wherein, autonomous respiration frequency, that is, patient is in connection breathing branch The respiratory rate that itself can reach before holding equipment.Ventilation preference is equivalent to the ventilation preference of doctor, i.e. doctor is more likely to Which kind of ventilating mode, including volume controlled ventilation and pressure controlled ventilation.
Step S2: the value of the respiration parameter of Breathing Suppotion equipment is determined according to the essential information of patient, to respiration parameter It is configured, wherein respiration parameter includes at least one of the following: that ventilating mode, tidal volume, pressure of inspiration(Pi) are horizontal, sucking oxygen is dense Degree, end-expiratory positive pressure, inspiratory duration, breath holding time, rise time, support pressure and trigger sensitivity.
Specifically, in one embodiment of the invention, the essential information of patient is for example including ventilation preference and intubation gas Pipe sleeve cryptomere state.Ventilation preference includes volume controlled ventilation and pressure controlled ventilation, and intubation tracheal tampon state includes no intubation Tracheal tampon and there is intubation tracheal tampon, then determine the value of the respiration parameter of Breathing Suppotion equipment according to the essential information of patient, To be configured to the respiration parameter, comprising:, comprising:
If ventilation preference is pressure controlled ventilation, judge to be intubated tracheal tampon state, if intubation tracheal tampon state For without intubation tracheal tampon, then cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode and ventilate.If Ventilation preference is volume controlled ventilation, then opens volume controlled ventilation mode and ventilate.Wherein, pressure-vent control model example It such as include synchronous interval instruction-pressure regulated volume-controlled ventilation (Synchronized Intermittent Mandatory Ventilation-Pressure Regulated Volume Control, SIMV-PRVC) mode.Volume controlled ventilation mode For example including synchronous interval instruction-volume controlled ventilation (Synchronized Intermittent Mandatory Ventilation-Volume Controlled, SIMV-VC) mode.
Further, in one embodiment of the invention, if ventilation preference is volume controlled ventilation, according to default Weight and preset lung preversation ventilation strategies, determine tidal volume.In an embodiment of the present invention, presetting weight is, for example, to be suitable for this The ideal body weight of patient basis, according to the essential information of the patient, such as age, gender, height determine.It is preset Lung preversation ventilation strategies are, for example, the lung preversation ventilation strategies of ARDS.NET.In other words, if ventilation preference is volume controlled Ventilation is then ventilated according to the ideal body weight (i.e. default weight) and the lung preversation of ARDS.NET that are determined by the essential information of the patient Strategy determines tidal volume values.In turn, initial tidal volume is set according to determining tidal volume values.It should be noted that ARDS.NET Lung preversation ventilation strategies be lung preversation ventilation strategies commonly used in the art, be no longer described in detail herein.
If ventilation preference is pressure controlled ventilation, default pressure of inspiration(Pi) water is set by the horizontal Pinsp of pressure of inspiration(Pi) It is flat, pressure of inspiration(Pi) level can unit can for centimetre/water, specific value can be higher units or lower tens.
In one embodiment of the invention, the essential information of patient further includes the age of patient, this method further include: root It is determined according to the age of patient and corresponds to the standard ventilation control frequency IDFreq of patient and the lower limit of standard blood oxygen saturation range Value, and ventilated according to standard and control the ventilation control of the lower limit value setting Breathing Suppotion equipment of frequency and standard blood oxygen saturation range Frequency Freq processed.For example, i.e., it determines that the standard for corresponding to the patient is ventilated according to essential informations such as the ages of patient to control The lower limit SpO2L of frequency IDFreq and SpO2 satisfactory value, the i.e. lower limit value of standard blood oxygen saturation range, are denoted as SpO2L, It is specific to determine that example logic is as shown in table 1 below.
Table 1
As shown in table 1, when sRR is in (0, IDFreq*1.5), illustrate that the autonomous respiration frequency of patient at this time is smaller, then It does not examine rate SpO2 at this time, and sets standard ventilation control frequency IDFreq for ventilation control frequency Freq.When sRR is in When [IDFreq*1.5, maximum], illustrate that the autonomous respiration frequency of patient at this time is larger, then further when SpO2 is in [SpO2L- When 15,100], illustrate that blood oxygen saturation is higher at this time, then sets sRR-5 for Freq, when SpO2 be in [SpO2L-25, SpO2L-15] when, illustrate that blood oxygen saturation is lower at this time, then sets standard ventilation control frequency IDFreq for Freq, when When SpO2 is in [0, SpO2L-25], illustrate that blood oxygen saturation is very low at this time, and since the autonomous respiration frequency of patient is larger, IDFreq+5 then is set by Freq, and issues prompt information, such as " sedative please be give ", to remind medical staff to infuse to patient Sedative is penetrated, the autonomous respiration frequency of patient is reduced, to reduce the probability of man-machine confrontation, is conducive to realize man-machine synchronization.It can Selection of land, standard blood oxygen saturation range are, for example, [95,100], i.e. the lower limit value SpO2L of standard blood oxygen saturation range is 95.
In one embodiment of the invention, the essential information of patient further includes the blood pressure of patient, this method further include: such as Fruit blood pressure is lower than the lower limit value of default blood pressure range, then sets default end-expiratory positive pressure value for end-expiratory positive pressure, and will sucking Oxygen concentration raises preset value.Wherein, default blood pressure range, that is, reasonable blood pressure range, specific reasonable blood pressure range, refers to Setting in medical book about reasonable blood pressure range.Optionally, the lower limit value for presetting blood pressure range is, for example, 70 or 120, For example, 70 correspond to diastolic pressure, 120 correspond to systolic pressure, when patient diastolic pressure lower than 70 or systolic pressure be lower than 120, then determine that blood pressure is lower than the lower limit value of default blood pressure range, illustrates that the patients' blood is lower.Optionally, end-tidal is being preset just Pressure value is, for example, the settable minimum end-expiratory positive pressure of Breathing Suppotion equipment, and specific value is, for example, 5cmH2O.If blood pressure BP is lower than the lower limit value of default blood pressure range, illustrates that blood pressure is relatively low, then is setting default end-tidal just for end-expiratory positive pressure PEEP Pressure value, such as 5cmH2O, and fraction of inspired oxygen FiO2 is raised into preset value, preset value is, for example, 20.In a particular embodiment, it sucks The setting example logic of oxygen concentration FiO2 and end-expiratory positive pressure PEEP is as shown in table 2.
Table 2
As shown in Fig. 2, illustrating SpO2 higher at this time when SpO2 is in (SpO2L, 100), being then set as breathing by FiO2 The minimum value of holding equipment FiO2, while default end-expiratory positive pressure value is set by PEEP;When SpO2 be in (SpO2L-5, When SpO2L), illustrate that SpO2 is slightly below normal range (NR) at this time, then by FiO2 be set as the minimum value of Breathing Suppotion equipment FiO2 with The sum of preset value (such as 20), while default the sum of end-expiratory positive pressure value and corresponding regulated quantity 5 are set by PEEP;At SpO2 When (SpO2L-15, SpO2L-5), illustrates that SpO2 is lower at this time, then set FiO2 to the minimum of Breathing Suppotion equipment FiO2 The sum of value and corresponding regulated quantity 40, while default the sum of end-expiratory positive pressure value and corresponding regulated quantity 10 are set by PEEP;When When SpO2 is in (min, SpO2L-15), illustrate that SpO2 is very low at this time, is far below normal range (NR), then sets FiO2 to The peak of Breathing Suppotion equipment FiO2, such as 100, while default end-expiratory positive pressure value and corresponding regulated quantity are set by PEEP The sum of 10.
In one embodiment of the invention, this method further include: according to the inspiratory/expiratory of Breathing Suppotion equipment and set up Current ventilation control frequency after determines inspiratory duration.In other words, inspiratory duration Tinsp is according to the ventilation set Frequency Freq and inspiratory/expiratory (for example, 1:2) are controlled to determine.
Using the maximum value between inspiratory duration and the sum of products preset time of preset ratio as breath holding time.For example, pre- If ratio is, for example, lower ten digit value P%, preset time is, for example, lower millisecond S.In other words, suction obtained above is calculated The P% of gas time, and the P% of inspiratory duration was compared with preset time S seconds, maximum value between the two is taken, as screen Gas time Tp.It should be noted that above-mentioned numerical value is only the determination process for illustrating to determine breath holding time in the present embodiment, do not have It is of practical significance.
It will be set as the default rise time rise time.In a particular embodiment, default rise time unit can be milli Second, particular number grade can be several hundred milliseconds.
Default support pressure is set by support pressure.In a particular embodiment, default support pressure unit is;Centimetre/ Water (i.e. cmH2O), specific value can be the higher units of numerical value or the lower tens of numerical value.
Trigger sensitivity Trigger is determined according to triggering type.It specifically includes: setting default for pressure activated sensitivity Flow triggering sensitivity is set preset flow trigger sensitivity by pressure activated sensitivity.In other words, if triggering type For pressure activated sensitivity, then preset pressure trigger sensitivity, preset pressure touching are set by corresponding pressure activated sensitivity Send out sensation unit be centimetre/water, numerical value is negative, is specifically as follows the negative that absolute value is closer to 0;If triggering class Type is flow triggering sensitivity, then sets preset flow trigger sensitivity, preset flow for corresponding flow triggering sensitivity Trigger sensitivity unit be liter/min, numerical value is positive number, is specifically as follows the lesser units of numerical value.
To sum up, the respiration parameter setting method of Breathing Suppotion equipment according to an embodiment of the present invention, obtains the basic of patient Information determines the value for being suitable for the respiration parameter of the patient according to essential information, and respiration parameter is arranged accordingly, so as to basis The initial parameter of Breathing Suppotion equipment is arranged in individual patients situation automatically, and Breathing Suppotion equipment Rapid matching is enable to suffer from The state of an illness of person, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start to breathe Treatment.
Further embodiment of the present invention also proposed a kind of respiration parameter setting device of Breathing Suppotion equipment.
Fig. 2 is the structural block diagram of the respiration parameter setting device of Breathing Suppotion equipment according to an embodiment of the invention. As shown in Fig. 2, the respiration parameter setting device 100 of the Breathing Suppotion equipment includes: to obtain module 110 and setup module 120.
Wherein, the essential information that module 110 is used to obtain patient is obtained.Optionally the essential information of patient include with down toward One item missing: ventilation preference, intubation tracheal tampon state, age, gender, height, weight, autonomous respiration frequency, the patient's condition, blood oxygen are full With degree and blood pressure.In a particular embodiment, ventilation preference and intubation tracheal tampon state need doctor to select, other bases This information can be inquired by medical information system and be obtained, and can also be manually entered by doctor.Blood oxygen is saturated SpO2 and blood pressure BP It can also can monitor to obtain by Breathing Suppotion equipment related sensor, doctor can also be passed through by communicating acquisition with patient monitor It is manually entered.Wherein, the respiratory rate that autonomous respiration frequency, that is, patient itself can reach before connecting Breathing Suppotion equipment. Ventilation preference is equivalent to the ventilation preference of doctor, i.e. doctor is more likely to which kind of ventilating mode, including volume controlled ventilation and pressure Power control ventilation.
Setup module 120 is used to determine the value of the respiration parameter of Breathing Suppotion equipment according to the essential information of patient, with right Respiration parameter is configured, wherein respiration parameter include at least one of the following: ventilating mode, tidal volume, pressure of inspiration(Pi) it is horizontal, Fraction of inspired oxygen, end-expiratory positive pressure, inspiratory duration, breath holding time, rise time, support pressure and trigger sensitivity.
Specifically, in one embodiment of the invention, the essential information of patient is for example including ventilation preference and intubation gas Pipe sleeve cryptomere state.Inclined type of ventilating includes volume controlled ventilation and pressure controlled ventilation, and intubation tracheal tampon state includes without slotting Pipe tracheal tampon and there is intubation tracheal tampon, then setup module 120 is used for:
When preference of ventilating is pressure controlled ventilation, judge to be intubated tracheal tampon state, if intubation tracheal tampon state is Without intubation tracheal tampon, then cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode and ventilates.Work as ventilation When preference is volume controlled ventilation, opens volume controlled ventilation mode and ventilate.Wherein, pressure-vent control model is, for example, SIMV-PRVC ventilating mode.Volume controlled ventilation mode is, for example, SIMV-VC ventilating mode.
Further, in one embodiment of the invention, when preference of ventilating is volume controlled ventilation, according to default body Weight and preset lung preversation ventilation strategies, determine tidal volume.In an embodiment of the present invention, presetting weight is, for example, to be suitable for the trouble The ideal body weight of person's essential information, according to the essential information of the patient, such as age, gender, height determine.Preset lung Protection ventilation strategies are, for example, the lung preversation ventilation strategies of ARDS.NET.In other words, if ventilation preference is logical for volume controlled Gas, then according to the lung preversation ventilation plan of the ideal body weight (i.e. default weight) and ARDS.NET that are determined by the essential information of the patient Slightly, tidal volume values are determined.In turn, initial tidal volume is set according to determining tidal volume values.It should be noted that ARDS.NET Lung preversation ventilation strategies are lung preversation ventilation strategies commonly used in the art, are no longer described in detail herein.
When preference of ventilating is pressure controlled ventilation, pressure of inspiration(Pi) is horizontally placed to default pressure of inspiration(Pi) level, air-breathing Stress level can unit can for centimetre/water, specific value can be higher units or lower tens.
In one embodiment of the invention, the essential information of patient further includes the age of patient, and setup module 120 is also used In: determine the standard ventilation control frequency IDFreq's and standard blood oxygen saturation range for corresponding to patient according to the age of patient Lower limit value, and the logical of the lower limit value setting Breathing Suppotion equipment for controlling frequency and standard blood oxygen saturation range of being ventilated according to standard Gas control frequency Freq.For example, i.e., determine that the standard for corresponding to the patient is ventilated according to essential informations such as the ages of patient Control the lower limit SpO2L of frequency IDFreq and SpO2 satisfactory value, the i.e. lower limit value of standard blood oxygen saturation range.Optionally, Standard blood oxygen saturation range is, for example, [95,100], i.e. the lower limit value SpO2L of standard blood oxygen saturation range is 95
In one embodiment of the invention, the essential information of patient further includes the blood pressure of patient, and setup module 120 is also used In: when blood pressure is lower than the lower limit value of default blood pressure range, default end-expiratory positive pressure value is set by end-expiratory positive pressure, and will inhale Enter oxygen concentration up-regulation preset value.Wherein, default blood pressure range, that is, reasonable blood pressure range, specific reasonable blood pressure range, please join See the setting in medical book about reasonable blood pressure range.Optionally, preset blood pressure range lower limit value be, for example, 70 or 120, for example, 70 correspond to diastolic pressure, 120 correspond to systolic pressure, when patient diastolic pressure be lower than 70, or shrink force down In 120, then determines that blood pressure is lower than the lower limit value of default blood pressure range, illustrate that the patients' blood is lower.Optionally, end-tidal is preset Positive pressure value is, for example, the settable minimum end-expiratory positive pressure of Breathing Suppotion equipment, and specific value is, for example, 5cmH2O.If blood It presses BP to be lower than the lower limit value of default blood pressure range, illustrates that blood pressure is relatively low, then set default end-tidal for end-expiratory positive pressure PEEP Positive pressure value, preset value is raised such as 5cmH2O and by fraction of inspired oxygen FiO2, preset value is, for example, 20.
In one embodiment of the invention, setup module 120 is also used to: according to the inspiratory/expiratory of Breathing Suppotion equipment and being set Current ventilation control frequency after the completion of setting determines inspiratory duration.In other words, inspiratory duration Tinsp is according to having set Ventilation controls frequency Freq and inspiratory/expiratory (for example, 1:2) to determine.
Using the maximum value between inspiratory duration and the sum of products preset time of preset ratio as breath holding time.Wherein, in advance If ratio is, for example, lower ten digit value P%, preset time is, for example, lower millisecond S.In other words, suction obtained above is calculated The P% of gas time, and the P% of inspiratory duration was compared with preset time S seconds, maximum value between the two is taken, as screen Gas time Tp.It should be noted that above-mentioned numerical value is only the determination process for illustrating to determine breath holding time in the present embodiment, do not have It is of practical significance.
It will be set as the default rise time rise time.In a particular embodiment, default rise time unit can be milli Second, particular number grade can be several hundred milliseconds.
Default support pressure is set by support pressure.In a particular embodiment, default support pressure unit is;Centimetre/ Water (i.e. cmH2O), specific value can be the higher units of numerical value or the lower tens of numerical value.
Trigger sensitivity Trigger is determined according to triggering type.It specifically includes: setting default for pressure activated sensitivity Flow triggering sensitivity is set preset flow trigger sensitivity by pressure activated sensitivity.In other words, if triggering type For pressure activated sensitivity, then preset pressure trigger sensitivity, preset pressure touching are set by corresponding pressure activated sensitivity Send out sensation unit be centimetre/water, numerical value is negative, is specifically as follows the negative that absolute value is closer to 0;If triggering class Type is flow triggering sensitivity, then sets preset flow trigger sensitivity, preset flow for corresponding flow triggering sensitivity Trigger sensitivity unit be liter/min, numerical value is positive number, is specifically as follows the lesser units of numerical value.
It should be noted that the specific implementation side of the respiration parameter setting device of the Breathing Suppotion equipment of the embodiment of the present invention Formula is similar with the specific implementation of respiration parameter setting method of Breathing Suppotion equipment of the embodiment of the present invention, specifically refers to The description of method part, in order to reduce redundancy, details are not described herein again.
Device is arranged in the respiration parameter of Breathing Suppotion equipment according to an embodiment of the present invention, obtains the essential information of patient, The value for being suitable for the respiration parameter of the patient is determined according to essential information, and respiration parameter is set accordingly, so as to according to patient The initial parameter of Breathing Suppotion equipment is arranged in individual instances automatically, enables Breathing Suppotion equipment Rapid matching patient's The state of an illness, to reduce the probability of man-machine confrontation, keep patient quickly synchronous with Breathing Suppotion equipment and start respiratory therapy.
Further embodiment of the present invention also proposed a kind of Breathing Suppotion equipment, including any one above-mentioned reality of the present invention Apply the respiration parameter setting device of Breathing Suppotion equipment described in example.
Breathing Suppotion equipment according to an embodiment of the present invention, can be according to individual patients situation to the first of Breathing Suppotion equipment Beginning parameter is arranged automatically, enables the state of an illness of Breathing Suppotion equipment Rapid matching patient, to reduce the general of man-machine confrontation Rate keeps patient quickly synchronous with Breathing Suppotion equipment and starts respiratory therapy.
In the description of this specification, reference term " one embodiment ", " some embodiments ", " example ", " specifically show The description of example " or " some examples " etc. means specific features, structure, material or spy described in conjunction with this embodiment or example Point is included at least one embodiment or example of the invention.In the present specification, schematic expression of the above terms are not Centainly refer to identical embodiment or example.Moreover, particular features, structures, materials, or characteristics described can be any One or more embodiment or examples in can be combined in any suitable manner.
Although an embodiment of the present invention has been shown and described, it will be understood by those skilled in the art that: not A variety of change, modification, replacement and modification can be carried out to these embodiments in the case where being detached from the principle of the present invention and objective, this The range of invention is by claim and its equivalent limits.

Claims (10)

1. a kind of respiration parameter setting method of Breathing Suppotion equipment, which comprises the following steps:
Obtain the essential information of patient;
The value that the respiration parameter of the Breathing Suppotion equipment is determined according to the essential information of the patient, to the respiration parameter It is configured, wherein the respiration parameter includes at least one of the following: that ventilating mode, tidal volume, pressure of inspiration(Pi) are horizontal, suck Oxygen concentration, end-expiratory positive pressure, inspiratory duration, breath holding time, rise time, support pressure and trigger sensitivity.
2. the respiration parameter setting method of Breathing Suppotion equipment according to claim 1, which is characterized in that the basic letter Breath includes ventilation preference and intubation tracheal tampon state, and the essential information according to the patient determines that the Breathing Suppotion is set The value of standby respiration parameter, to be configured to the respiration parameter, comprising:
If the ventilation preference is pressure controlled ventilation, the intubation tracheal tampon state is judged, if the intubation tracheae Cuff state is without intubation tracheal tampon, then cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode and carries out Ventilation;
If the ventilation preference is volume controlled ventilation, opens volume controlled ventilation mode and ventilate.
3. the respiration parameter setting method of Breathing Suppotion equipment according to claim 2, which is characterized in that the method, Further include:
If the ventilation preference is volume controlled ventilation, according to weight and preset lung preversation ventilation strategies are preset, determine The tidal volume;
If the ventilation preference is pressure controlled ventilation, the pressure of inspiration(Pi) is horizontally placed to default pressure of inspiration(Pi) water It is flat.
4. the respiration parameter setting method of Breathing Suppotion equipment according to claim 3, which is characterized in that the basic letter Breath further includes the age of patient, the method also includes:
The standard ventilation control frequency and standard blood oxygen saturation range for corresponding to the patient are determined according to the patient age Lower limit value, and according to the standard ventilate control frequency and the standard blood oxygen saturation range lower limit value setting described in exhale The ventilation for inhaling holding equipment controls frequency.
5. the respiration parameter setting method of Breathing Suppotion equipment according to claim 1-4, which is characterized in that institute The essential information for stating patient further includes the blood pressure of patient, the method also includes:
If the blood pressure is lower than the lower limit value of default blood pressure range, default end-tidal is being set just for the end-expiratory positive pressure Pressure value, and the fraction of inspired oxygen is raised into preset value.
6. the respiration parameter setting method of Breathing Suppotion equipment according to claim 5, which is characterized in that further include:
Current ventilation control frequency according to the inspiratory/expiratory of Breathing Suppotion equipment and after being provided with determines the inspiratory duration;
Using the maximum value between the inspiratory duration and the sum of products preset time of preset ratio as the breath holding time;
The default rise time is set by the rise time;
Default support pressure is set by the support pressure;
The trigger sensitivity is determined according to triggering type, comprising: sets preset pressure triggering spirit for pressure activated sensitivity Flow triggering sensitivity is set preset flow trigger sensitivity by sensitivity.
7. device is arranged in a kind of respiration parameter of Breathing Suppotion equipment characterized by comprising
Module is obtained, for obtaining the essential information of patient;
Setup module, the value of the respiration parameter for determining the Breathing Suppotion equipment according to the essential information of the patient, with The respiration parameter is configured, wherein the respiration parameter includes at least one of the following: ventilating mode, tidal volume, air-breathing Stress level, fraction of inspired oxygen, end-expiratory positive pressure, inspiratory duration, breath holding time, rise time, support pressure and triggering are sensitive Degree.
8. device is arranged in the respiration parameter of Breathing Suppotion equipment according to claim 7, which is characterized in that the basic letter Breath includes ventilation preference and intubation tracheal tampon state, and the setup module is used for:
When the ventilation preference is pressure controlled ventilation, the intubation tracheal tampon state is judged, when the intubation air pipe sleeve When cryptomere state is without intubation tracheal tampon, cracking pressure controls ventilating mode, otherwise opens volume controlled ventilation mode and is led to Gas;When the ventilation preference is volume controlled ventilation, opens volume controlled ventilation mode and ventilate.
9. device is arranged in the respiration parameter of Breathing Suppotion equipment according to claim 8, which is characterized in that the setting mould Block is also used to:
When the ventilation preference is volume controlled ventilation, according to default weight and preset lung preversation ventilation strategies, institute is determined State tidal volume;
When the ventilation preference is pressure controlled ventilation, it is horizontal that the pressure of inspiration(Pi) is horizontally placed to default pressure of inspiration(Pi).
10. a kind of Breathing Suppotion equipment, which is characterized in that including the described in any item Breathing Suppotion equipment of such as claim 7-9 Respiration parameter be arranged device.
CN201811628279.2A 2018-12-28 2018-12-28 Respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment Pending CN109731195A (en)

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US20110041850A1 (en) * 2009-08-20 2011-02-24 Nellcor Puritan Bennett Llc Method For Ventilation
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Inventor after: Han Wenlan

Inventor after: Wang Yibing

Inventor after: Zhang Hongyu

Inventor after: Ma Ruichao

Inventor after: Fan Yajing

Inventor after: Liu Jialong

Inventor after: Li Kai

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