Mouth-nose separated breathing mask
Technical Field
The utility model belongs to the technical field of respiratory protection equipment, especially, relate to a mouth nose disconnect-type respirator.
Background
At present, noninvasive positive pressure ventilation refers to positive pressure auxiliary ventilation which is carried out by connecting a patient with a breathing machine in a noninvasive mode such as a nasal mask, an oronasal mask or a full face mask, and the like, is one of the commonly used auxiliary ventilation methods in the department of respiration, the department of emergency treatment and the department of critical medicine, can reduce the tracheal intubation rate of the patient, and is mainly suitable for patients with acute respiratory failure, particularly patients with carbon dioxide retention.
Although noninvasive ventilators are widely used clinically, certain complications exist, and abdominal distension is one of the common complications. In the clinical use process, the discomfort caused by positive pressure ventilation is relieved by frequently breathing through mouth in the process of using a noninvasive ventilator to part of acute respiratory failure patients, so that high-pressure gas enters the gastrointestinal tract through the oropharynx, the abdominal distension of the patients is caused, especially for the respiratory failure patients who partially reject tracheal intubation, the nasal breathing is difficult to achieve in the process of using the noninvasive ventilator to assist ventilation, so that a large amount of gas enters the stomach intestine, the abdominal distension of the patients is obvious, and the risk of inhalation pneumonia of the patients is increased. At present, the common masks at home and abroad are a nose mask and an oral-nasal mask.
Through the above analysis, the problems and defects of the prior art are as follows: (1) the nose mask is more comfortable to use and easy to accept by patients, but in the actual treatment process, because the respiratory frequency of the patients is fast, the patients can not correctly realize the mouth closing and nose breathing, the mouth leakage is caused, and the failure of positive pressure ventilation treatment is often caused.
(2) The oral nasal mask who uses clinically is mostly single chamber structure, can not adjust respectively the air output of mouth, nose, though can effectively improve the patient and ventilate under the good condition of patient's cooperation, nevertheless because respiratory failure is early, patient respiratory rate is fast, and most patients can't tolerate the malleation and ventilate, often open one's mouth and breathe to increase the risk of patient's abdominal distension, and the risk of this type of patient's aspiration pneumonia also increases thereupon.
(3) Some nose masks or mouth-nose masks have no independent airflow adjusting device, and can only adjust and change the parameters of a connected respirator in clinical use, while the parameters of a pager are complex, have higher technical requirements on a regulator, and need to be communicated and adjusted with a patient repeatedly. In some critical patients, especially those who combine with disturbance of consciousness but refuse to assist ventilation with invasive ventilator, cannot communicate effectively, are difficult to assist ventilation with noninvasive ventilator, often breathe with mouth opening, and the existing mouth-nose mask is easier to increase the risk of abdominal distension and aspiration pneumonia.
(4) The existing ventilation mask brings abdominal distension to patients when positive pressure ventilation is carried out, and the ventilation condition of the mouth or the nose can be independently adjusted because the existing ventilation mask does not exist.
The difficulty in solving the above problems and defects is: in order to solve the above problems, it is necessary to ensure the positive pressure ventilation effect and improve the ventilation of the patient quickly, and to reduce the discomfort of the patient as much as possible so as to better cooperate with the treatment in clinical non-invasive positive pressure ventilation. This requires that the positive pressure air pass through the mask as far as possible through the nasal passages into the respiratory passages, and not through the oral passages into the stomach, causing flatulence. However, most patients can breathe by mouth opening under the stimulation of positive pressure gas in the specific implementation process so as to relieve the uncomfortable feeling of compression, and because the mouth-nose separated mask needs to be designed, the patients are sequentially and gradually induced to adapt to the state of non-invasive positive pressure ventilation, and finally adapt to nasal ventilation so as to improve the success rate.
The significance of solving the problems and the defects is as follows: through designing a mouth separable face guard of nose, can improve clinically because of using not creating the abdominal distension that positive pressure ventilation brought for some patients of creating to reduce the risk of aspiration pneumonia, and through adjusting the entry airflow and induce the patient to adapt to not creating the positive pressure ventilation state gradually, thereby increase the treatment success rate.
SUMMERY OF THE UTILITY MODEL
In order to solve the problems existing in the prior art, the utility model provides a mouth-nose separation type breathing mask. In particular to noninvasive positive pressure ventilation, which is particularly suitable for patients with carbon dioxide retention.
The utility model is realized in such a way that the mouth-nose separated breathing mask is provided with a mouth separating cabin;
the oral separation cabin is attached to the breathing mask, and the partition area of the oral separation cabin is separated from the main breathing pipe on the mask;
the mouth separation cabin is characterized in that a soft silica gel sealing edge is arranged below the mouth separation cabin, and a breathing regulating valve and a check valve are respectively arranged on two sides of the mouth separation cabin.
Further, the oral separation cabin is in an inverted funnel shape.
Furthermore, the respiration adjusting valve is of a disc rotating type structure, a relative ventilation area is marked on the sliding part, and a silica gel pad is arranged on the contact part of the sliding part and the mouth separation cabin for sealing.
Further, the flow stopping valve is of a leaf type silica gel film structure and is used for closing rectification with the main mask during inspiration and fully opening exhaust during expiration.
Combine foretell all technical scheme, the utility model discloses the advantage that possesses and positive effect are:
the utility model provides a mouth-nose disconnect-type respirator. According to years of clinical observation and communication with a patient, the ventilation volume and the airflow speed of the patient during oral inhalation are adjusted or blocked according to the actual ventilation condition of the patient in the clinical use process, the exhalation process is not interfered, the noninvasive ventilator is guaranteed to have a good ventilation effect, the comfort level of the patient is improved, and the occurrence probability of abdominal distension discomfort of the patient is reduced.
The utility model discloses the biggest characteristics have carried out the separation of mouth nose two parts with respirator, under same non-invasive positive pressure airflow effect, the air current is preferred to get into the respiratory track from the nasal part, the stimulation of malleation and the respiratory failure state originally can make the patient instinct mouth breathing in order to alleviate respiratory distress and the oppression sense of air current this moment, oral area separate cabin has just played the effect of partial pressure this moment, can adjust the air flow of entering into oral area separate cabin through the governing valve, make the patient have the action of mouth breathing to take place, but inspiratory gas quantity significantly reduces, thereby can alleviate uncomfortable sense in physiology and psychology, the air current that gets into the stomach has also been reduced simultaneously, along with the air current that progressively reduces oral area cabin again with the improvement of respiratory state of going on of ventilating, finally make the overwhelming majority of malleation air current get into the respiratory track through the nose, promote ventilation efficiency.
The utility model provides a situation of ventilating can be improved better with the combination application of lobate shape governing valve and lobate shape check valve, the governing valve that has the scale mark can be better records the relative flow of air current, can help clinician to combine patient clinical manifestation to increase or reduce oral area air output more objectively, has maneuverability and repeatability, and lobate shape check valve can help the patient to discharge the gas of exhalation better to cause the retention of carbon dioxide at the lung.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings needed to be used in the embodiments of the present application will be briefly described below, and it is obvious that the drawings described below are only some embodiments of the present application, and it is obvious for those skilled in the art that other drawings can be obtained from the drawings without creative efforts.
Fig. 1 is a schematic structural view of an oronasal separation type respiratory mask provided by an embodiment of the present invention.
Fig. 2 is a schematic view of a flow stopping valve provided by the embodiment of the present invention.
Fig. 3 is a schematic view of a regulating valve provided in an embodiment of the present invention.
In the figure: 1. an oral separation chamber; 2. sealing the edge with soft silica gel; 3. a flow stop valve; 4. a primary respiratory tube; 5. a breath regulating valve.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
To the problem that prior art exists, the utility model provides a mouth nose disconnect-type respirator, it is right to combine the figure below the utility model discloses do detailed description.
As shown in fig. 1-3, the embodiment of the present invention provides a mouth-nose separated breathing mask, which comprises: the mouth separation cabin comprises an oral separation cabin 1, a soft silica gel sealing edge 2, a check valve 3, a main respiratory tube 4 and a respiratory regulating valve 5.
The whole body is in a shape like a Chinese character 'hui', an oral separation cabin 1 is added on the basis of a common breathing mask, as shown in figure 1, the main body structure of the oral separation cabin 1 is connected with the whole mask, the whole body is in an inverted funnel shape, hard plastics consistent with a main body are arranged above a partition area and separated from a main breathing pipe 4 on the mask, a soft silica gel sealing edge 2 is arranged below the partition area, and a breathing adjusting valve 5 (figure 3) and a check valve 3 (figure 2) are respectively arranged on two sides of the partition area. The respiration adjusting valve 5 is designed in a disc rotating mode, a relative ventilation area (shown by percentage) is marked on a sliding part, a silicon rubber pad is arranged at a contact part of a sliding sheet part and the mouth separating cabin 1 for sealing, and sliding adjustment is carried out according to actual conditions so as to change ventilation pressure when the respiration adjusting valve is used; the other side of the cabin is designed into a one-way ventilation check valve 3 which is a leaf type silica gel film and is designed to close rectification with the main mask during inspiration and be opened completely during expiration so as to facilitate better exhaust.
The separated design can better adjust the partial pressure of the gas flow at the mouth and nose parts, can ensure the ventilation effect under the condition of continuous positive pressure ventilation, and can also reduce the discomfort caused by the high-pressure gas entering the stomach.
The invention will be further described with reference to specific embodiments.
Example of the implementation
According to the degree of clinical respiratory failure of patients, various parameters on the noninvasive ventilator are adjusted, a main ventilation pipeline on the ventilator is connected to a main breathing pipe of the mask, wheel sheets of an oral separation cabin are pulled out to 0 percent, then fixing the mask, continuously ventilating, when the patient has obvious discomfort and mouth-opening breathing, taking down the mask, adjusting the regulating valve wheel plate of the mouth separation cabin to 20 percent of the position, fixing the mask again, at the moment, part of air flow with smaller pressure can enter the respiratory tract from the mouth separation cabin in unit time, continuously ventilating by positive pressure, temporarily keeping the parameters of the breathing machine from being adjusted, when the breathing frequency and the breathing amplitude of the mouth of the patient are reduced and are adapted to the ventilation state, the disc can be adjusted to a value of 10% or less again, ventilation is continued until the patient is adaptive to the positive pressure ventilation state, and the ventilation proportion value of the disc can be reduced after the nasal inhalation is matched. Therefore, under the same breathing parameter, through the adjustment mode in proper order, through the gas partial pressure of adjusting oral area separating chamber, finally reach better ventilation effect, also reduced breathing uncomfortable and abdominal distension.
The mouth and nose parts of the mask are separated to form two air inlet passages under the air pressure in the mask, the regulating valve of the mouth cabin can independently regulate air flow entering the oral cavity, so that a patient can compensate mouth breathing to relieve discomfort, the air flow entering the stomach can be controlled, and the air is enabled to enter the separation cabin in a one-way mode through the combination of the regulating valve and the stop valve without influencing the discharge of exhaled air.
In the description of the present invention, "a plurality" means two or more unless otherwise specified; the terms "upper", "lower", "left", "right", "inner", "outer", "front", "rear", "head", "tail", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are merely for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
The above description is only for the specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto, and any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be covered within the protection scope of the present invention by those skilled in the art within the technical scope of the present invention.