WO2020258097A1 - 一种通气控制方法及装置、医用通气设备、存储介质 - Google Patents

一种通气控制方法及装置、医用通气设备、存储介质 Download PDF

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Publication number
WO2020258097A1
WO2020258097A1 PCT/CN2019/093101 CN2019093101W WO2020258097A1 WO 2020258097 A1 WO2020258097 A1 WO 2020258097A1 CN 2019093101 W CN2019093101 W CN 2019093101W WO 2020258097 A1 WO2020258097 A1 WO 2020258097A1
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WIPO (PCT)
Prior art keywords
ventilation
recruitment
instruction
trigger time
parameter
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PCT/CN2019/093101
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English (en)
French (fr)
Inventor
黄继萍
黄成华
潘瑞玲
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Priority to PCT/CN2019/093101 priority Critical patent/WO2020258097A1/zh
Priority to CN201980093585.7A priority patent/CN113543828B/zh
Publication of WO2020258097A1 publication Critical patent/WO2020258097A1/zh
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes

Definitions

  • the embodiments of the present invention relate to the technical field of medical equipment, in particular to a ventilation control method and device, medical ventilation equipment, and storage media.
  • Atelectasis means that the volume or air content of one or more lung segments or lobes is reduced. If the patient develops atelectasis, it may lead to hypoxemia, loss of alveolar surfactants, obstruction of expiratory airflow, periodic alveolar collapse, recruitment lung injury, aggravation of lung infection and biological lung damage. The patient brought great harm.
  • the doctor can only manually adjust the ventilation parameters to perform ventilation, and the intelligence is low.
  • the embodiments of the present invention expect to provide a ventilation control method and device, medical ventilation equipment, and storage medium, which can automatically perform recruitment ventilation according to the received trigger time command and recruitment ventilation parameter command, and improve The intelligence of lung recruitment ventilation execution.
  • the embodiment of the present invention provides a ventilation control method, the method includes:
  • Recruitment ventilation is initiated according to the trigger time instruction, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the recruitment ventilation is initiated at a preset time indicated by the trigger time instruction, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the lung recruitment ventilation is initiated respectively, and the lung recovery ventilation is executed by the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the recruitment ventilation is periodically initiated, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the recruitment ventilation is stopped according to the stop instruction.
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the method when performing the step of modifying the recruitment ventilation parameter indicated by the recruitment ventilation parameter instruction according to the modification instruction, the method further includes:
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • One or more of the patient parameters, the recruitment ventilation parameters and the recruitment trigger time are displayed.
  • the method before executing the step of initiating recruitment ventilation according to the trigger time instruction, the method further includes:
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the display form and/or display area of one or more parameters among the patient parameters, the recruitment ventilation parameters, and the recruitment trigger time are adjusted.
  • the patient parameters include at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • the embodiment of the present invention provides a ventilation control device, which is applied to medical ventilation equipment, and the device includes:
  • Receiving module receiving lung recruitment ventilation parameter commands and trigger time commands
  • the execution module is configured to initiate recruitment ventilation according to the trigger time instruction, and execute the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter command.
  • the execution module starts the recruitment ventilation at a preset moment indicated by the trigger time instruction, and executes the lung recruitment through the medical ventilation device according to the recruitment ventilation parameter command. Recruitment ventilation.
  • the execution module initiates the recruitment ventilation at each of the at least two preset moments indicated by the trigger time instruction, and passes the command according to the recruitment ventilation parameter
  • the medical ventilation device performs the lung recruitment ventilation.
  • the execution module periodically initiates the recruitment ventilation according to the time interval indicated by the trigger time instruction, and executes all the operations through the medical ventilation device according to the recruitment ventilation parameter command. Description of lung recruitment ventilation.
  • the receiving module also receives a stop instruction
  • the execution module Upon receiving the stop instruction output by the receiving module, the execution module stops performing the recruitment ventilation according to the stop instruction.
  • the receiving module also receives a modification instruction
  • the execution module When the execution module receives the modification instruction output by the receiving module, it modifies the corresponding recruitment ventilation parameters and/or the recruitment trigger time according to the modification instruction; and modifies the recruitment ventilation according to the modified instruction. Parameters and/or recruitment trigger time to initiate the next recruitment ventilation.
  • the execution module modifies the recruitment ventilation parameter indicated by the recruitment ventilation parameter command according to the modification command, if the modified recruitment ventilation parameter indicated by the modification command is If the preset parameter modification range is exceeded, an out-of-range prompt message will be output.
  • the device further includes a display module
  • the execution module also outputs one or more of the patient parameter, the recruitment ventilation parameter, and the recruitment trigger time to the display module for display through the display module; and/or
  • the execution module also outputs the time and/or the time until the next recruitment of the lung to start the recruitment to the display module to pass the The display module displays the time of the next start of the recruitment ventilation and/or the time since the next start of the recruitment ventilation.
  • the receiving module also receives a display setting instruction
  • the execution module receives the display setting instruction output by the receiving module, according to the display setting instruction, adjust one or more of the displayed patient parameters, recruitment lung ventilation parameters, and recruitment lung ventilation trigger time Display form and/or display area.
  • the patient parameter includes at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • the embodiment of the present invention provides a medical ventilation device including the above ventilation control device, and the medical ventilation device further includes: a gas source and a breathing circuit;
  • the gas source is connected to the ventilation control device, and provides gas during the execution of the ventilation control;
  • the breathing circuit is connected with the air source and the ventilation control device, and provides a breathing path during the execution of the ventilation control.
  • the ventilation device is an anesthesia machine.
  • the embodiment of the present invention provides a computer-readable storage medium, wherein the computer-readable storage medium stores a ventilation control program, and the ventilation control program can be executed by a processor to realize the above-mentioned ventilation control method.
  • a recruitment ventilation parameter command and a trigger time command are received; recruitment ventilation is initiated according to the trigger time command, and recruitment ventilation is performed according to the recruitment ventilation parameter command. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention
  • FIG. 2 is a schematic flowchart of a ventilation control method provided by an embodiment of the present invention.
  • Fig. 3 is a schematic diagram of an exemplary display of lung recruitment ventilation parameters provided by an embodiment of the present invention.
  • FIG. 4 is a schematic diagram showing an exemplary airway pressure-volume loop provided by an embodiment of the present invention.
  • FIG. 5 is an exemplary display diagram of peak airway pressure, positive end expiratory pressure, compliance and tidal volume provided by an embodiment of the present invention
  • Fig. 6 is an exemplary countdown display diagram provided by an embodiment of the present invention.
  • FIG. 7 is a schematic diagram of a window layout of an exemplary display interface provided by an embodiment of the present invention.
  • Fig. 8 is a schematic structural diagram of a medical ventilation device provided by an embodiment of the present invention.
  • the embodiment of the present invention provides a ventilation control method, which is applied to medical ventilation equipment.
  • the ventilation control method may be executed by a ventilation control device or a medical ventilation device.
  • the medical ventilation equipment may be an anesthesia machine.
  • Fig. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention. As shown in FIG. 1, the ventilation control device includes: a receiving module 101 and an executing module 102.
  • the receiving module 101 may specifically be a touch screen, a keyboard, etc., for receiving related instructions or input parameters sent by the user.
  • the execution module 102 may specifically be a controller, a processor, etc., constituted by software, hardware, firmware, or a combination thereof, and used to implement the corresponding steps in the ventilation control method provided by the present invention.
  • the specific receiving module 101 and execution module 102 are not limited in the embodiment of the present invention.
  • Fig. 2 is a schematic flowchart of a ventilation control method provided by an embodiment of the present invention. As shown in Figure 2, the ventilation control method mainly includes the following steps:
  • S201 Receive a lung recruitment ventilation parameter instruction and a trigger time instruction.
  • the receiving module 101 in the ventilation control device can receive the lung recruitment ventilation parameter instruction and the trigger time instruction.
  • medical staff can analyze the actual condition of the patient to determine the time to perform recruitment ventilation for the patient and the relevant parameters for performing recruitment ventilation, that is, recruitment ventilation parameters .
  • the receiving module 101 can receive the recruitment module ventilation parameter command and trigger time command, among which the recruitment ventilation parameter command indicates Ventilation parameters for lung recruitment.
  • recruitment ventilation includes controlled lung expansion and positive end-expiratory pressure increasing method. Therefore, the recruitment ventilation parameters indicated by the recruitment ventilation instruction can also be used. To correspond to the control parameters involved in these two methods.
  • Recruitment ventilation parameters indicated by the recruitment ventilation parameter command can specifically include recruitment pressure, recruitment pressure increment, recruitment duration, recruitment cycle, and end expiration after recruitment.
  • Specific lung recruitment ventilation parameters are not limited in the embodiment of the present invention, and can be selected and determined by medical staff according to specific patient conditions.
  • the trigger time instruction may indicate one preset moment, at least two preset moments, and time intervals.
  • the preset time trigger indicates to start recruitment ventilation at a preset time, that is, recruitment ventilation can be performed when the time is reached.
  • triggering at a preset time can also indicate to start recruitment ventilation at multiple preset moments and perform recruitment ventilation.
  • Triggered at time intervals that is, recruiting lung ventilation is started every certain period of time, and recruitment ventilation is performed.
  • the specific trigger time command is not limited in the embodiment of the present invention, and can be selected and determined by the medical staff according to the specific patient's condition.
  • the medical staff only need to send specific recruitment ventilation parameter commands and trigger time commands to the ventilation control device, and the ventilation control device can automatically follow the parameters and parameters indicated by the two instructions.
  • Recruitment ventilation is activated at all times, and recruitment ventilation is performed, thereby improving the intelligence of lung recruitment ventilation.
  • S202 Initiate recruitment ventilation according to the trigger time instruction, and perform recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the execution module 102 can start recruitment ventilation according to the trigger time instruction after the receiving module 101 receives the recruitment module 101 ventilation parameter instruction and the trigger time instruction, and pass the instruction according to the recruitment ventilation parameter instruction. Medical ventilation equipment performs recruitment ventilation.
  • the recruitment ventilation parameters indicated by the recruitment ventilation parameter instruction may be different types of parameters, and the trigger time instruction may also indicate different types of trigger time. Therefore, the execution module 102 There are many forms of performing recruitment ventilation.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: a preset command indicated at the trigger time Recruitment ventilation is activated at all times, and recruitment ventilation is performed according to the instruction of the recruitment ventilation parameters.
  • the trigger time instruction can specifically indicate a preset moment. Therefore, the execution module 102 starts recruitment ventilation at a preset time indicated by the trigger time instruction, that is, turns on the lungs. Recruitment ventilation function, thereby performing recruitment ventilation according to the recruitment ventilation parameters indicated by the recruitment ventilation parameter command.
  • the trigger time instruction indicates a preset time
  • the preset time is time k1
  • the recruitment lung ventilation parameters indicated by the recruitment lung ventilation parameter command specifically include: recruitment pressure V1, the duration of lung recruitment T1, and the positive end-expiratory pressure V2 after the end of lung recruitment. Therefore, when the time k1 is reached, the execution module 102 initiates recruitment ventilation to control the alveolar pressure to V1 and continue for the duration of T1. At the end of the duration of T1, control the alveolar pressure to V2, which realizes the automatic execution of a lung rehabilitation. Zhang Tongqi.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: at least two instructions indicated at the trigger time At each of the preset moments, recruitment ventilation is initiated separately, and recruitment ventilation is executed according to the lung recruitment ventilation parameter instruction.
  • the trigger time instruction may specifically indicate multiple preset moments, that is, indicate at least two preset moments. Therefore, the execution module 102 initiates recruitment ventilation at each of the at least two preset moments indicated in accordance with the trigger time instruction, that is, turns on the lung recruitment ventilation function, and thus according to the instruction of the lung recruitment ventilation parameter instruction Recruitment ventilation parameters perform recruitment ventilation.
  • the recruitment ventilation parameter command may specifically indicate each lung Recruitment ventilation parameters are instructions with the same parameters.
  • the recruitment ventilation parameter command may also be a command indicating different recruitment ventilation parameters each time, that is, the recruitment ventilation ventilation parameter that is performed at different times indicates different recruitment ventilation parameters.
  • the recruitment ventilation parameter command can also indicate a recruitment ventilation parameter and indicate a certain change rule.
  • the recruitment ventilation parameters used by the execution module 102 each time recruitment is performed are based on the change rule.
  • the parameters obtained after the lung recruitment ventilation parameters are changed, and the specific recruitment ventilation parameter commands are not limited in the embodiment of the present invention.
  • the trigger time instruction indicates two preset moments
  • the two preset moments are k1 and k2 respectively
  • k1 is before k2
  • the lung recruitment ventilation parameter command indicates
  • the ventilation parameters for lung recruitment include: the first recruitment pressure V1, the first recruitment duration T1, the positive end-expiratory pressure after the first recruitment, V2, and the second recruitment Pressure V3, duration of the second lung recruitment T2, and positive end-expiratory pressure V4 after the second lung recruitment. Therefore, when the time k1 is reached, the execution module 102 initiates recruitment ventilation, thereby controlling the alveolar pressure to V1 and continuing for T1. At the end of the T1 period, controlling the alveolar pressure to V2, which realizes the first automatic execution Recruitment ventilation.
  • the execution module 102 starts recruitment ventilation again, thereby controlling the alveolar pressure to V3 for a duration of T2.
  • controlling the alveolar pressure to V4 which realizes the automatic execution of the first Second lung recruitment ventilation.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: according to the time interval indicated by the trigger time instruction, Recruitment ventilation is initiated periodically, and recruitment ventilation is performed according to the instruction of the recruitment ventilation parameters.
  • the trigger time instruction may specifically indicate a time interval. Therefore, the execution module 102 automatically initiates recruitment ventilation every time interval according to the trigger time instruction, that is, turns on the lungs. Recruitment ventilation function, thereby performing recruitment ventilation according to the recruitment ventilation parameters indicated by the recruitment ventilation parameter command.
  • the recruitment ventilation parameter instruction may specifically indicate the recruitment ventilation for each cycle.
  • the parameters are instructions with the same parameters.
  • it can also be instructions that indicate different recruitment ventilation parameters for each cycle, that is, the recruitment ventilation performed in different cycles indicates different recruitment ventilation parameters.
  • recruitment The ventilation parameter command can also indicate a recruitment ventilation parameter and indicate a certain change rule.
  • the recruitment ventilation parameters used by the execution module 102 when performing recruitment ventilation every cycle are based on the change rule to the indicated recruitment ventilation parameters.
  • the parameters obtained after the changes, and the specific recruitment ventilation parameter commands are not limited in the embodiment of the present invention.
  • the trigger time instruction indicates the time interval T0
  • the recruitment ventilation parameters indicated by the recruitment ventilation parameter instruction specifically include: recruitment pressure V1, recruitment duration T1, As well as the positive end-expiratory pressure V2 after lung recruitment is completed, therefore, the execution module 102 automatically initiates recruitment ventilation at every interval T0, so as to periodically control the alveolar pressure to V1 and continue for the duration of T1. At the end of time, the alveolar pressure is controlled to V2, which realizes the periodic recruitment ventilation.
  • the execution module 102 when the execution module 102 initiates recruitment ventilation according to the trigger time instruction and executes recruitment ventilation according to the recruitment ventilation parameters, it may further include the following steps: if a stop instruction is received , According to the stop instruction to stop recruitment ventilation.
  • the medical staff may need to control the cessation of recruitment ventilation according to the actual condition of the patient, or for periodic execution of lung rehabilitation.
  • Zhang ventilation it is necessary to stop periodic recruitment ventilation at a certain time.
  • the medical staff can send a stop instruction to the receiving module 101 through a touch operation, so that the receiving module 101 receives the stop instruction, and then the execution module 102 stops performing recruitment ventilation according to the stop instruction output by the receiving module 101.
  • the execution module 102 starts recruitment ventilation according to the trigger time instruction, and according to lung recruitment
  • the ventilation parameter instruction executes the steps of lung recruitment ventilation, it also includes: if a modification instruction is received, modify the corresponding recruitment ventilation parameters and/or the recruitment trigger time according to the modification instruction; according to the modified recruitment lung Ventilation parameters and/or recruitment ventilation trigger time initiates the next recruitment ventilation.
  • the user can input a modification instruction through the receiving module 101 to modify the corresponding recruitment ventilation parameter and/or recruitment ventilation trigger time.
  • the user can click on the recruitment ventilation parameters or the trigger time of recruitment ventilation displayed on the touch screen, and enter the modification instruction through touch, gesture, etc. in the pop-up window; or, the user can also use the keyboard, mouse, etc. Enter the modification instruction.
  • the modification instructions There are many ways to enter the modification instructions, which are not described here. For example, if the trigger time of recruitment ventilation is modified from the preset time A to the preset time B through the modification instruction, the execution module 102 will start the next recruitment ventilation at the preset time B.
  • the ventilation control device may further include a display module 103.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameters.
  • One or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time can be output to the display module 103 for display.
  • the display module 103 can display one or more of patient parameters, recruitment ventilation parameters, and recruitment ventilation trigger time.
  • the medical staff think that the display is not needed currently, they can also input the closing instruction through the receiving module 101, and the receiving module 101 outputs the closing instruction to the execution module 102, and the execution module 102 can further control the display module 103 to close the related content displayed.
  • the execution module 102 if the trigger time instruction indicates a preset moment, the execution module 102 only needs to initiate recruitment ventilation at the preset moment; if the trigger time instruction indicates at least two At a preset time, the execution module 102 needs to start recruitment ventilation at each of at least two preset moments; if the trigger time instruction indicates a time interval, the execution module 102 periodically activates according to the time interval Recruitment ventilation.
  • the execution module 102 can display one or more of the patient parameters, the recruitment ventilation parameters and the recruitment ventilation trigger time through the display module 103 after receiving the recruitment ventilation parameter command and the trigger time command, so that View the information about recruitment ventilation that has been set for the user.
  • the recruitment ventilation parameters displayed by the display module 103 are the parameters required to perform recruitment ventilation indicated by the recruitment ventilation parameter instruction, for example, the aforementioned recruitment pressure , The positive end-expiratory pressure after lung recruitment is performed, etc., which are not limited in the embodiment of the present invention.
  • Fig. 3 is a schematic diagram of an exemplary display of lung recruitment ventilation parameters provided by an embodiment of the present invention.
  • the display module 103 can display the parameters for performing recruitment ventilation indicated by the recruitment ventilation parameter command, which specifically include: recruitment pressure, recruitment duration, and end expiration after recruitment ends. Positive pressure.
  • the recruitment pressure indicated by the lung recruitment ventilation parameter command is 27 cmH 2 O
  • the recruitment duration is 15 sec
  • the positive end-expiratory pressure after lung recruitment is completed is 5 cmH 2 O.
  • the display module 103 displays the recruitment ventilation parameters
  • the time interval indicated by the trigger time instruction can also be displayed by adding the recruitment ventilation parameters, and the specific display time interval is 1 min.
  • the display module 103 can display patient parameters. After viewing the patient parameters, the medical staff can determine whether to modify the recruitment settings. If you want to modify the recruiting lung settings, you can input the modification instruction through the receiving module 101; after the execution module 102 receives the modification instruction output by the receiving module 101, it will perform recruitment ventilation parameters and/or recruitment trigger time according to the modified instruction. Modify and perform recruitment ventilation using the modified recruitment ventilation parameters and/or the trigger time of recruitment ventilation.
  • the execution module 102 modifies the recruitment ventilation parameters indicated by the recruitment ventilation parameter command according to the modification command, it further includes the following steps: if the modified lung indicated by the modification command is modified Recruitment ventilation parameters beyond the preset parameter can be modified range, output over-range prompt message.
  • the ventilation control device may also pre-store preset parameter modification ranges.
  • the value range of lung recruitment ventilation parameters can be modified if the user determines After the lung recruitment ventilation parameters exceed this range, during the modification process, when the execution module 102 determines the situation, it can output an over-range prompt message.
  • the medical staff can judge whether it is necessary to re-determine the modified post-modification according to the over-range prompt information.
  • the specific preset parameters can be modified within the scope of lung recruitment ventilation parameters, which are not limited by the embodiment of the present invention.
  • the out-of-range prompt information output by the execution module 102 may be a preset alarm prompt sound or text prompt information. If the output is text prompt information, the text prompt The information may also include a preset parameter modifiable range, so that the display module 103 may further display and present, and the specific out-of-range prompt information is not limited in the embodiment of the present invention.
  • the display module 103 may provide relevant signs after the lung recruitment ventilation parameters, such as the triangle sign after the parameter value in FIG. 3.
  • a window for modifying the corresponding parameter value will pop up or display.
  • the medical staff touches the triangle mark corresponding to the recruitment pressure, the values 25, 26, 27, 28, 29, and 30 will pop up or display on the display screen, that is, the available values for the recruitment pressure.
  • the medical staff can specify the value of 29 through a specific button, or directly touch the displayed value of 29, the receiving module 101 receives the selection operation, and the execution module 102 determines the value of 29 as the modified value according to the selection operation.
  • Recruitment pressure of the lung, and when the next recruitment ventilation is initiated, the next recruitment ventilation will be initiated according to the revised recruitment pressure.
  • the specific parameters display the access port and the revised lung recruitment ventilation parameters without limitation in the embodiment of the present invention.
  • patient parameters include at least airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • peak airway pressure is the maximum value of the airway pressure during one breath of the patient, that is, within one breathing cycle, and the specific patient parameters are not limited in the embodiment of the present invention.
  • the patient parameters displayed by the display module 103 can be displayed in the form of a circular graph, or can be displayed in the form of a short trend graph, a waveform graph, a numerical value, etc., for example, according to the patient parameter
  • the display mode of the airway pressure-volume loop, and the specific patient parameters is not limited in the embodiment of the present invention.
  • Fig. 4 is a schematic diagram showing an exemplary airway pressure-volume loop provided by an embodiment of the present invention. As shown in FIG. 4, when the execution module 102 executes recruitment ventilation, the display module 103 can display the relationship between airway pressure and volume in real time, that is, the airway pressure-volume loop.
  • Fig. 5 is an exemplary display diagram of peak airway pressure, positive end expiratory pressure, compliance, and tidal volume provided by an embodiment of the present invention. As shown in FIG. 5, when the execution module 102 performs recruitment ventilation, the display module 103 can display specific values related to peak airway pressure, positive end expiratory pressure, compliance, and tidal volume in real time.
  • the display module 103 may display the time and/or display distance of the next initiation of recruitment ventilation according to the trigger time instruction The time to initiate recruitment next time.
  • Fig. 6 is an exemplary countdown display diagram provided by an embodiment of the present invention. As shown in Figure 6, it can be displayed on the display module 103 that there are 9 seconds left until the next recruitment ventilation is initiated. Of course, the display module 103 can also display the changes of relevant parameters of the medical ventilation equipment during ventilation. Figures, for example, the patient's breathing waveform, ventilation mode, etc., are not limited in the embodiment of the present invention.
  • the display module 103 can directly display the preset moment and/or display the time from the preset moment, that is, Shows the time from lung recruitment to ventilation.
  • the execution module 102 when the trigger time instruction indicates at least two preset moments, or indicates a time interval, the execution module 102 actually needs to perform multiple recruitment ventilation.
  • the display module 103 can automatically display the time when the next recruitment ventilation is started and/or the time until the next recruitment ventilation is started each time the execution module 102 performs a recruitment ventilation.
  • the medical staff can also use touch operations to receive
  • the module 101 sends an instruction to view recruitment ventilation parameters and patient parameters.
  • the execution module 102 can output the recruitment ventilation parameters to the display module 103 for display according to the instruction for medical staff View.
  • the display module 103 can display recruitment ventilation parameters, patient parameters, and information such as the time until the next recruitment ventilation is initiated, the time at which recruitment ventilation is initiated, etc.
  • Different types of information can be displayed in different windows.
  • the recruitment ventilation parameters are displayed in window A1, and the patient parameters are displayed in window A2.
  • the time until the next recruitment ventilation is started Display in window A3.
  • the type-related information can also be displayed in one window.
  • recruitment parameters and patient parameters can be displayed in one window.
  • the window can be divided There are two upper and lower parts, the upper part displays the lung recruitment ventilation parameters, and the lower part displays the patient parameters.
  • the receiving module 101 can also receive and output display setting instructions; the execution module 102 adjusts the display patient parameters, lung recruitment ventilation parameters, and parameters according to the display setting instructions output by the receiving module 101.
  • the display form and/or display area of one or more parameters in the trigger time of recruitment ventilation For example, for windows that display different parameters, the medical staff can send display setting instructions such as enlargement, reduction, and position drag to the receiving module 101 through a selection tool such as a touch screen or a mouse, and the execution module 102 can respond according to the display setting instructions. Adjust the window size, change the display area, etc.
  • the specific display form and/or display area are not limited in the embodiment of the present invention.
  • the window for displaying recruitment ventilation parameters, patient parameters, and the time until the next recruitment ventilation is started, the time when recruitment ventilation is started, etc. can be displayed in a specific window. Automatically display or close the time of, for example, in the process of periodically performing recruitment ventilation, after each recruitment ventilation is performed, a window including the time until the next recruitment ventilation is initiated will be automatically displayed , And the window will be closed automatically when it is time to start the next recruitment ventilation.
  • a window including recruitment ventilation parameters and patient parameters can be automatically displayed, and the window can be automatically closed when recruitment ventilation is performed.
  • the window that displays information can also include a close icon.
  • the open icon corresponding to the window can also be selected through a touch operation to open the corresponding window at any time and display the corresponding type of information.
  • the specific window opening and closing manners are not limited in the embodiment of the present invention.
  • Fig. 7 is a schematic diagram of a window layout of an exemplary display interface provided by an embodiment of the present invention.
  • window 1, window 2 and window 3 respectively display different types of ventilation-related waveforms.
  • the user can control the closing of the corresponding window by clicking the close icon at the upper right of the different windows to stop displaying the corresponding waveform .
  • window 1 is used to display the change waveform of carbon dioxide
  • window 2 is used to display the change waveform of airway pressure
  • window 3 is used to display the change waveform of air flow rate.
  • Window 4 is used to display the countdown of the next recruitment ventilation. The user can close window 4 by double-clicking anywhere in window 4.
  • the window 5 may include two areas, area 1 and area 2, where area 1 can display lung recruitment ventilation parameters, and area 2 can display airway pressure-volume loops.
  • area 1 can display lung recruitment ventilation parameters
  • area 2 can display airway pressure-volume loops.
  • the user can close the control window 5 by clicking the close icon at the upper left of area 1 in the window 5, and clicking the OK icon at the upper right can save the currently set lung recruitment ventilation parameters.
  • a stop sign is also set at the bottom of window 5, and the user can control the cessation of lung recruitment and ventilation by clicking the stop sign.
  • the bottom of the display interface also includes icon 1, icon 2, icon 3, icon 4, and icon 5, which correspond to window 1, window 2, window 3, window 4, and window 5 respectively.
  • the user can click the corresponding icon to display the corresponding window.
  • the layout of each window, and operations such as opening and closing each window can be implemented in other ways, which are not described here.
  • the embodiment of the present invention provides a ventilation control method, which receives a lung recruitment ventilation parameter instruction and a trigger time instruction; initiates lung recruitment ventilation according to the trigger time instruction, and performs lung recruitment through a medical ventilation device according to the lung recruitment ventilation parameter instruction Ventilation. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention. As shown in Figure 1, the ventilation control device includes:
  • Receiving module 101 receiving lung recruitment ventilation parameter instructions and trigger time instructions
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and performs recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the execution module 102 initiates recruitment ventilation at a preset time indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the execution module 102 initiates recruitment ventilation at each of at least two preset moments indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction .
  • the execution module 102 periodically initiates recruitment ventilation according to the time interval indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the receiving module 101 also receives a stop instruction
  • the execution module 102 When the execution module 102 performs recruitment ventilation, if it receives a stop instruction output by the receiving module, it stops performing recruitment ventilation according to the stop instruction.
  • the receiving module 101 also receives a modification instruction
  • the execution module 102 When the execution module 102 is performing recruitment ventilation, if it receives a modification instruction output by the receiving module 101, it modifies the corresponding recruitment ventilation parameters and/or recruitment ventilation trigger time according to the modification instruction; according to the modified lung recovery The expansion ventilation parameters and/or recruitment ventilation trigger time initiates the next recruitment ventilation.
  • the execution module 102 modifies the recruitment ventilation parameter indicated by the recruitment ventilation parameter command according to the modification command, if the revised recruitment ventilation parameter indicated by the modification command exceeds the preset parameter modification range, the output exceeds the range Prompt information.
  • the above device further includes a display module 103;
  • the execution module 102 executes the steps of recruitment ventilation according to the recruitment ventilation parameter instructions, it also outputs one or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time to the display module 103 to pass the The display module 103 performs display.
  • the above device further includes a display module 103;
  • the execution module 102 outputs the time when the next recruitment ventilation is started and/or the time until the next recruitment ventilation is started to the display module 103;
  • the display module 103 displays the time when recruitment is initiated next time and/or the time until recruitment is initiated next time.
  • the receiving module 101 also receives a display setting instruction
  • the execution module 102 if receiving the display setting instruction output by the receiving module, adjust the display form and/or display of one or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time according to the display setting instructions area.
  • the patient parameters include at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and sputum dioxide content.
  • An embodiment of the present invention provides a ventilation control device that receives a recruitment ventilation parameter command and a trigger time command; initiates recruitment ventilation according to the trigger time command, and executes recruitment ventilation according to the recruitment ventilation parameter command. That is to say, the ventilation control device provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 8 is a schematic structural diagram of a medical ventilation device provided by an embodiment of the present invention.
  • the medical ventilation equipment includes the above-mentioned ventilation control device 801, and also includes: a gas source 802 and a breathing tube 803;
  • the air source 802 is connected to the ventilation control device 801, and provides air during recruitment ventilation;
  • the breathing tube 803 is connected with the air source 802 and the ventilation control device 801, and provides a breathing path during the execution of lung recruitment ventilation.
  • the embodiment of the present invention provides a computer-readable storage medium, and the computer-readable storage medium stores a ventilation control program, and the ventilation control program can be executed by a processor to realize the above ventilation control method.
  • the computer-readable storage medium may be a volatile memory (volatile memory), such as random-access memory (Random-Access Memory, RAM); or a non-volatile memory (non-volatile memory), such as read-only memory (Read Only Memory). -Only Memory, ROM, flash memory, Hard Disk Drive (HDD) or Solid-State Drive (SSD); it can also be a respective device including one or any combination of the above-mentioned memories, Such as mobile phones, computers, tablet devices, personal digital assistants, etc.
  • the embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may adopt the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may adopt the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, optical storage, etc.) containing computer-usable program codes.
  • a computer-usable storage media including but not limited to disk storage, optical storage, etc.
  • These computer program instructions can also be stored in a computer-readable memory that can guide a computer or other programmable signal processing equipment to work in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture including the instruction device.
  • the device implements the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
  • These computer program instructions can also be loaded on a computer or other programmable signal processing equipment, so that a series of operation steps are executed on the computer or other programmable equipment to produce computer-implemented processing, so as to execute on the computer or other programmable equipment.
  • the instructions provide steps for implementing functions specified in a flow or multiple flows in the flowchart and/or a block or multiple blocks in the block diagram.
  • a recruitment ventilation parameter command and a trigger time command are received; recruitment ventilation is initiated according to the trigger time command, and recruitment ventilation is performed by a medical ventilation device according to the recruitment ventilation parameter command. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.

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Abstract

一种通气控制方法，接收肺复张通气参数指令和触发时间指令（S201）；根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气（S202）。

Description

一种通气控制方法及装置、医用通气设备、存储介质 技术领域
本发明实施例涉及医疗设备技术领域，尤其涉及一种通气控制方法及装置、医用通气设备、存储介质。
背景技术
肺不张，即一个或多个肺段或肺叶的容量或含气量减少。如果病人出现肺不张的情况，可能导致低血氧症、肺泡表面活性物质丢失、呼气气流受阻、周期性的肺泡塌陷、复张性肺损伤、加重肺部感染和生物性肺损伤，对病人带来了极大的危害。
目前，针对肺不张的情况，只能由医生手动调整通气参数执行通气，智能性较低。
发明内容
为解决上述技术问题，本发明实施例期望提供一种通气控制方法及装置、医用通气设备、存储介质，能够自动根据接收到的触发时间指令和肺复张通气参数指令执行肺复张通气，提高了肺复张通气执行的智能性。
本发明实施例的技术方案可以如下实现：
本发明实施例提供了一种通气控制方法，所述方法包括：
接收肺复张通气参数指令和触发时间指令；
根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述方案中，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
在所述触发时间指令指示的一个预设时刻启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述方案中，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
在所述触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述方案中，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
根据所述触发时间指令指示的时间间隔，周期性的启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述方案中，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
如果接收到停止指令，则根据所述停止指令停止执行所述肺复张通气。
在上述方案中，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
如果接收到修改指令，则根据所述修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；
根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
在上述方案中，在执行所述根据所述修改指令修改所述肺复张通气参 数指令指示的肺复张通气参数的步骤时，所述方法还包括：
如果所述修改指令指示的所述修改后的肺复张通气参数超出预设参数可修改范围，输出超范围提示信息。
在上述方案中，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
显示病人参数、所述肺复张通气参数和肺复张通气触发时间中的一个或多个。
在上述方案中，在执行所述根据所述触发时间指令启动肺复张通气的步骤之前，所述方法还包括：
显示下一次启动所述肺复张通气的时刻和/或显示距离下一次启动所述肺复张通气的时间。
在上述方案中，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
根据显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。
在上述方案中，所述病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化碳含量中的一种。
本发明实施例提供了一种通气控制装置，应用于医用通气设备，所述装置包括：
接收模块，接收肺复张通气参数指令和触发时间指令；
执行模块，根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述装置中，所述执行模块，在所述触发时间指令指示的一个预设 时刻启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述装置中，所述执行模块，在所述触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述装置中，所述执行模块，根据所述触发时间指令指示的时间间隔，周期性的启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
在上述装置中，所述接收模块还接收停止指令；
所述执行模块接收到所述接收模块输出的所述停止指令，则根据所述停止指令停止执行所述肺复张通气。
在上述装置中，所述接收模块还接收修改指令；
所述执行模块接收到所述接收模块输出的所述修改指令，则根据所述修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；并根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
在上述装置中，所述执行模块在根据所述修改指令修改所述肺复张通气参数指令指示的肺复张通气参数时，如果所述修改指令指示的所述修改后的肺复张通气参数超出预设参数修改范围，输出超范围提示信息。
在上述装置中，所述装置还包括显示模块；
所述执行模块还将病人参数、肺复张通气参数和肺复张通气触发时间中的一个或多个输出至所述显示模块，以通过所述显示模块显示；和/或
所述执行模块还根据所述触发时间指令，将下一次启动所述肺复张通气的时刻和/或距离下一次启动所述肺复张通气的时间输出至所述显示模块，以通过所述显示模块显示所述下一次启动所述肺复张通气的时刻和/或距离下一次启动所述肺复张通气的时间。
在上述装置中，所述接收模块还接收显示设置指令；
所述执行模块，如果接收到所述接收模块输出的所述显示设置指令，根据所述显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。
在上述装置中，所述病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化碳含量中的一种。
本发明实施例提供了一种包含上述通气控制装置的医用通气设备，所述医用通气设备还包括：气源和呼吸管路；
所述气源与所述通气控制装置连接，在执行所述通气控制的过程中提供气体；
所述呼吸管路与所述气源和所述通气控制装置连接，在执行所述通气控制的过程中提供呼吸路径。
在上述通气设备中，所述通气设备为麻醉机。
本发明实施例提供了一种计算机可读存储介质，其特征在于，所述计算机可读存储介质存储有通气控制程序，所述通气控制程序可以被处理器执行，以实现上述通气控制方法。
由此可见，在本发明实施例的技术方案中，接收肺复张通气参数指令和触发时间指令；根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气。也就是说，本发明实施例提供的技术方案，能够自动根据接收到的触发时间指令和肺复张通气参数指令执行肺复张通气，提高了肺复张通气执行的智能性。
附图说明
图1为本发明实施例提供的一种通气控制装置的结构示意图；
图2为本发明实施例提供的一种通气控制方法的流程示意图；
图3为本发明实施例提供的一种示例性的肺复张通气参数的显示示意 图；
图4为本发明实施例提供的一种示例性的气道压力-容积环的显示示意图；
图5为本发明实施例提供的一种示例性的气道峰压、呼气末正压、顺应性和潮气量的显示示意图；
图6为本发明实施例提供的一种示例性的倒计时显示示意图；
图7为本发明实施例提供的一种示例性的显示界面的窗口布局示意图；
图8为本发明实施例提供的一种医用通气设备的结构示意图。
具体实施方式
为了能够更加详尽地了解本发明实施例的特点与技术内容，下面结合附图对本发明实施例的实现进行详细阐述，所附附图仅供参考说明之用，并非用来限定本发明实施例。
本发明实施例提供了一种通气控制方法，应用于医用通气设备。需要说明的是，在本发明的实施例中，通气控制方法可以由通气控制装置或医用通气设备执行。具体地，医用通气设备可以为麻醉机。图1为本发明实施例提供的一种通气控制装置的结构示意图。如图1所示，通气控制装置包括：接收模块101和执行模块102。
需要说明的是，在本发明的实施例中，接收模块101具体可以为触摸屏、键盘等，用于接收用户发送的相关指令或者输入的参数等。执行模块102具体可以为控制器、处理器等，通过软件、硬件、固件或者其组合所构成，用于实现本发明提供的通气控制方法中的相应步骤。具体的接收模块101和执行模块102本发明实施例不作限定。
以下基于上述通气控制装置进行肺复张通气控制的方法进行详述。
图2为本发明实施例提供的一种通气控制方法的流程示意图。如图2所示，通气控制方法主要包括以下步骤：
S201、接收肺复张通气参数指令和触发时间指令。
在本发明的实施例中，通气控制装置中的接收模块101可以接收肺复张通气参数指令和触发时间指令。
需要说明的是，在本发明的实施例中，医护人员可以根据病人的实际病情进行分析，确定针对病人执行肺复张通气的时间和执行肺复张通气的相关参数，即肺复张通气参数，通过触控操作向接收模块101发送肺复张通气参数指令和触发时间指令，接收模块101即可接收到肺复张通气参数指令和触发时间指令，其中，肺复张通气参数指令即指示了肺复张通气参数。
需要说明的是，在本发明的实施例中，肺复张通气包括控制性肺膨胀和呼气末正压递增法两种，因此，肺复张通气指令指示的肺复张通气参数也就可以为对应这两种方法所涉及的控制参数。肺复张通气参数指令指示的肺复张通气参数，具体可以包括肺复张压力、肺复张压力递增值、肺复张持续时间、肺复张周期，以及肺复张结束后的呼气末正压中的一个或多个，其中，肺复张周期为通气控制装置周期性的执行肺复张通气时，需要执行的肺复张通气的次数。具体的肺复张通气参数本发明实施例不作限定，可由医护人员根据具体病人情况选择、确定。
需要说明的是，在本发明的实施例中，触发时间指令可以指示一个预设时刻、至少两个预设时刻，以及时间间隔等。具体的，预设时刻触发指示在一个预设时刻启动肺复张通气，即在到达该时刻时可以执行肺复张通气。当然，预设时刻触发也可以指示在多个预设时刻启动肺复张通气，并执行肺复张通气。而按时间间隔触发，即每相隔一定时间段就启动肺复张通气，并执行肺复张通气。具体的触发时间指令本发明实施例不作限定，可由医护人员根据具体病人情况选择、确定。
可以理解的是，在本发明的实施例中，医护人员只需发送具体的肺复张通气参数指令和触发时间指令给通气控制装置，通气控制装置即可自动 根据这两种指令指示的参数和时刻启动肺复张通气，并执行肺复张通气，从而提高了肺复张通气执行的智能性。
S202、根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
在本发明的实施例中，执行模块102在接收模块101接收到肺复张通气参数指令和触发时间指令之后，即可根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
可以理解的是，在本发明的实施例中，肺复张通气参数指令指示的肺复张通气参数可以为不同类型的参数，触发时间指令也可以指示不同类型的触发时间，因此，执行模块102执行肺复张通气是具有多种形式的。
具体的，在本发明的实施例中，执行模块102根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气的步骤包括：在触发时间指令指示的一个预设时刻启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气。
可以理解的是，在本发明的实施例中，触发时间指令可以具体指示一个预设时刻，因此，执行模块102根据触发时间指令，在指示的一个预设时刻启动肺复张通气，即开启肺复张通气功能，从而根据肺复张通气参数指令指示的肺复张通气参数执行肺复张通气。
示例性的，在本发明的实施例中，触发时间指令指示了一个预设时刻，该预设时刻为k1时刻，肺复张通气参数指令指示的肺复张通气参数具体包括：肺复张压力V1、肺复张持续时间T1，以及肺复张结束后的呼气末正压V2。因此，在到达k1时刻时，执行模块102启动肺复张通气，从而控制肺泡压力至V1，并持续T1时长，在T1时长的结束时刻，控制肺泡压力至V2，即实现了自动执行一次肺复张通气。
具体的，在本发明的实施例中，执行模块102根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气的步骤包括：在 触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气。
可以理解的是，在本发明的实施例中，触发时间指令可以具体指示多个预设时刻，即指示至少两个预设时刻。因此，执行模块102根据触发时间指令，在指示的至少两个预设时刻中的每一个时刻，分别启动肺复张通气，即开启肺复张通气功能，从而根据肺复张通气参数指令指示的肺复张通气参数执行肺复张通气。
需要说明的是，在本发明的实施例中，对于执行模块102根据触发时间指令指示的至少两个预设时刻执行肺复张通气的情况，肺复张通气参数指令具体可以为指示每一次肺复张通气参数为相同参数的指令。当然，肺复张通气参数指令也可以为指示每一次肺复张通气参数不同的指令，即为不同时刻执行的肺复张通气指示不同的肺复张通气参数。当然，肺复张通气参数指令还可以指示一次肺复张通气参数并指示一定的变化规律，执行模块102在每一次执行肺复张通气时采用的肺复张通气参数均基于变化规律对指示的肺复张通气参数进行变化后得到的参数，具体的肺复张通气参数指令本发明实施例不作限定。
示例性的，在本发明的实施例中，触发时间指令指示了两个预设时刻，两个预设时刻分别为k1时刻和k2时刻，k1时刻在k2时刻之前，肺复张通气参数指令指示的肺复张通气参数具体包括：第一次肺复张压力V1、第一次肺复张持续时间T1、第一次肺复张结束后的呼气末正压V2、第二次肺复张压力V3、第二次肺复张持续时间T2，以及第二次肺复张结束后的呼气末正压V4。因此，在到达k1时刻时，执行模块102启动肺复张通气，从而控制肺泡压力至V1，并持续T1时长，在T1时长的结束时刻，控制肺泡压力至V2，即实现了自动执行第一次肺复张通气。之后，在到达k2时刻时，执行模块102再次启动肺复张通气，从而,控制肺泡压力至V3，并持续T2时长，在T2时长的结束时刻，控制肺泡压力至V4，即实现了自动执行第 二次肺复张通气。
具体的，在本发明的实施例中，执行模块102根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气的步骤包括：根据触发时间指令指示的时间间隔，周期性的启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气。
可以理解的是，在本发明的实施例中，触发时间指令可以具体指示一个时间间隔，因此，执行模块102根据触发时间指令，每间隔该时间间隔，就自动启动肺复张通气，即开启肺复张通气功能，从而根据肺复张通气参数指令指示的肺复张通气参数执行肺复张通气。
需要说明的是，在本发明的实施例中，对于执行模块102根据时间间隔周期性的执行肺复张通气的情况，其中，肺复张通气参数指令具体可以为指示每一周期肺复张通气参数为相同参数的指令，当然，也可以为指示每一周期肺复张通气参数不同的指令，即为不同周期所执行的肺复张通气指示不同的肺复张通气参数，当然，肺复张通气参数指令还可以指示一次肺复张通气参数并指示一定的变化规律，执行模块102在每周期执行肺复张通气时采用的肺复张通气参数均基于变化规律对指示的肺复张通气参数进行变化后得到的参数，具体的肺复张通气参数指令本发明实施例不作限定。
示例性的，在本发明的实施例中，触发时间指令指示了时间间隔T0，肺复张通气参数指令指示的肺复张通气参数具体包括：肺复张压力V1、肺复张持续时间T1，以及肺复张结束后的呼气末正压V2，因此，执行模块102在每间隔T0时长，自动启动肺复张通气，从而周期性的控制肺泡压力至V1，并持续T1时长，在T1时长的结束时刻，控制肺泡压力至V2，即实现了周期性的执行肺复张通气。
在本发明的实施例中，执行模块102在根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气的步骤时，还可以包括 以下步骤：如果接收到停止指令，则根据停止指令停止执行肺复张通气。
可以理解的是，在本发明的实施例中，执行模块102在执行肺复张通气时，医护人员可能需要根据病人的实际病情控制肺复张通气的停止，或者，针对周期性的执行肺复张通气的情况，需要在一定时刻控制停止周期性的执行肺复张通气。此时，医护人员可以通过触控操作向接收模块101发送停止指令，从而接收模块101接收到停止指令，之后，执行模块102根据接收模块101输出的停止指令停止执行肺复张通气。
在本发明的实施例中，对于触发时间指令指示至少两个预设时刻，或者，触发时间指令指示时间间隔的情况，执行模块102在根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气的步骤时，还包括：如果接收到修改指令，则根据修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
需要说明的是，在本发明的实施例中，用户可以通过接收模块101输入修改指令，以修改对应的肺复张通气参数和/或肺复张通气触发时间。具体地，用户可以通过点击触摸屏上显示的肺复张通气参数或者肺复张通气触发时间，在弹出的窗口中通过触控、手势等操作输入修改指令；或者，用户也可以通过键盘、鼠标等输入修改指令。输入修改指令的方式很多，在此不一一描述。例如，通过修改指令将肺复张通气触发时间由预设时刻A修改为预设时刻B，则执行模块102将在预设时刻B启动下一次肺复张通气。
需要说明的是，在本发明的实施例中，通气控制装置还可以包括显示模块103，执行模块102根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气时，可以将病人参数、肺复张通气参数和肺复张通气触发时间中的一个或者多个输出至显示模块103进行显示。
需要说明的是，在本发明的实施例中，显示模块103可以显示病人参 数、肺复张通气参数和肺复张通气触发时间中的一个或多个。当然，如果以后医护人员认为当前并不需要显示，也可以通过接收模块101输入关闭指令，接收模块101输出关闭指令至执行模块102，执行模块102即可进一步控制显示模块103关闭显示的相关内容。
需要说明的是，在本发明的实施例中，如果触发时间指令指示了一个预设时刻，则执行模块102仅需在该预设时刻启动肺复张通气；如果触发时间指令指示了至少两个预设时刻，则执行模块102需要在至少两个预设时刻中的每一个时刻分别启动肺复张通气；如果触发时间指令指示的为时间间隔，则执行模块102根据该时间间隔周期性的启动肺复张通气。当然，执行模块102可以在接收到肺复张通气参数指令和触发时间指令后，就通过显示模块103显示病人参数、肺复张通气参数和肺复张通气触发时间中的一个或多个，以便于用户查看已设置的肺复张通气信息。
可以理解的是，在本发明的实施例中，显示模块103显示的肺复张通气参数为肺复张通气参数指令指示的执行肺复张通气所需采用的参数，例如，上述肺复张压力、肺复张执行完后的呼气末正压等，本发明实施例不作限定。
图3为本发明实施例提供的一种示例性的肺复张通气参数的显示示意图。如图3所示，显示模块103可以显示肺复张通气参数指令指示的执行肺复张通气的参数，具体包括：肺复张压力、肺复张持续时间和肺复张结束后的呼气末正压。其中，肺复张通气参数指令指示的肺复张压力为27cmH 2O，肺复张持续时间为15sec，肺复张结束后的呼气末正压为5cmH 2O。需要说明的是，在显示模块103显示肺复张通气参数时，对于触发时间指令指示的时间间隔，也可以加入肺复张通气参数进行显示，具体显示的时间间隔为1min。
可以理解的是，在本发明的实施例中，执行模块102在执行肺复张通气时，显示模块103可以显示病人参数，医护人员查看到病人参数之后， 可判断是否要修改肺复张设置。如果要修改肺复张设置，可以通过接收模块101输入修改指令；执行模块102接收到接收模块101输出的修改指令后，根据修改指令对肺复张通气参数和/或肺复张通气触发时间进行修改，并采用修改后的肺复张通气参数和/或肺复张通气触发时间执行肺复张通气。
需要说明的是，在本发明的实施例中，执行模块102在根据修改指令修改肺复张通气参数指令指示的肺复张通气参数时，还包括以下步骤：如果修改指令指示的修改后的肺复张通气参数超出预设参数可修改范围，输出超范围提示信息。
可以理解的是，在本发明的实施例中，通气控制装置中还可以预先存储有预设参数可修改范围，例如，大部分情况下肺复张通气参数的取值范围，如果用户确定的修改后的肺复张通气参数超出该范围，在修改过程中，执行模块102判断出该情况时，即可输出超范围提示信息，医护人员根据该超范围提示信息即可判断是否需要重新确定修改后的肺复张通气参数，具体的预设参数可修改范围本发明实施例不作限定。
需要说明的是，在本发明的实施例中，执行模块102输出的超范围提示信息，可以为预设的报警提示音，或者，文字提示信息，如果输出的为文字提示信息，则该文字提示信息中还可以包括预设参数可修改范围，从而显示模块103可以进一步进行显示呈现，具体的超范围提示信息本发明实施例不作限定。
在本发明的实施例中，显示模块103可以在肺复张通气参数后提供相关标识，如图3中参数数值后的三角形标识。当医护人员触碰对应类型参数后的三角形标识时，即可弹出或显示修改相应参数值的窗口。例如，医护人员针对肺复张压力对应的三角形标识进行了触碰，显示屏上弹出或显示数值25、26、27、28、29和30，即肺复张压力可供选择的值。之后，医护人员可以通过特定按键指定29这一数值，或者直接触碰显示的29这一数值，接收模块101从而接收到选择操作，执行模块102根据该选择操作 将29这一数值确定为修改后的肺复张压力，并在下一次启动肺复张通气时，根据修改后的肺复张压力启动下一次肺复张通气。具体的参数显示接入口、修改后的肺复张通气参数本发明实施例不作限定。
需要说明的是，在本发明的实施例中，病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化碳含量中的一种。其中，气道峰压即为病人一次呼吸过程中，即一个呼吸周期内的气道压力的最大值，具体的病人参数本发明实施例不作限定。
需要说明的是，在本发明的实施例中，显示模块103显示病人参数可以以环形图的形式显示，也可以以短趋势图、波形图、数值等的形式进行显示，例如，可以根据病人参数显示气道压力-容积环，具体的病人参数的显示方式本发明实施例不作限定。
图4为本发明实施例提供的一种示例性的气道压力-容积环的显示示意图。如图4所示，在执行模块102执行肺复张通气时，显示模块103可以实时显示气道压力和容积的关系，即气道压力-容积环。
图5为本发明实施例提供的一种示例性的气道峰压、呼气末正压、顺应性和潮气量的显示示意图。如图5所示，在执行模块102执行肺复张通气过程中，显示模块103可以实时显示出气道峰压、呼气末正压、顺应性和潮气量的相关具体数值。
在本发明的实施例中，在执行模块102执行根据触发时间指令启动肺复张通气的步骤之前，显示模块103可以根据触发时间指令，显示下一次启动肺复张通气的时刻和/或显示距离下一次启动肺复张通气的时间。
图6为本发明实施例提供的一种示例性的倒计时显示示意图。如图6所示，在显示模块103上可以显示出距离下一次启动肺复张通气的时间还剩9秒，当然，在显示模块103上还可以显示医用通气设备通气过程中的相关参数的变化图，例如，病人的呼吸波形，通气模式等，本发明实施例不作限定。
需要说明的是，在本发明的实施例中，对于触发时间指令仅指示了一个预设时刻的情况，显示模块103可以直接显示该预设时刻和/或显示距离该预设时刻的时间，即显示距离肺复张通气的时间。
需要说明的是，在本发明的实施例中，对于触发时间指令指示了至少两个预设时刻，或者，指示了时间间隔的情况，实际上执行模块102要执行多次肺复张通气，此时，显示模块103可以在执行模块102每次执行完一次肺复张通气时，自动显示下一次启动肺复张通气的时刻和/或显示距离启动下一次肺复张通气的时间。
需要说明的是，在本发明的实施例中，在显示模块103显示启动肺复张通气的时刻和/或显示距离启动肺复张通气的时间时，医护人员也可以通过触控操作，向接收模块101发送查看肺复张通气参数、病人参数的指令，在接收模块101接收到该指令后，执行模块102根据该指令即可输出肺复张通气参数至显示模块103以进行显示，供医护人员查看。
需要说明的是，在本发明的实施例中，显示模块103可以显示肺复张通气参数、病人参数，以及距离下一次启动肺复张通气的时间、启动肺复张通气的时刻等信息，对于不同类型的信息，可以分别以不同的窗口进行显示，例如，将肺复张通气参数在窗口A1中进行显示，将病人参数在窗口A2中进行显示，将距离下一次启动肺复张通气的时间在窗口A3中进行显示，当然，也可以将其中类型相关的信息在一个窗口中进行显示，例如，可以将肺复张通气参数和病人参数在一个窗口中进行显示，具体的，将该窗口划分为上下两部分，上部分显示肺复张通气参数，下部分显示病人参数。
需要说明的是，在本发明的实施例中，接收模块101还可以接收并输出显示设置指令；执行模块102则根据接收模块101输出的显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。例如，对于显示不同参数的窗口，医护人 员可以通过触控屏或者鼠标等选择工具向接收模块101发送扩大、缩小，以及位置拖动等显示设置指令，执行模块102即可根据该显示设置指令相应调整窗口大小，改变显示区域等。具体的显示形式和/或显示区域本发明实施例不作限定。
需要说明的是，在本发明的实施例中，显示肺复张通气参数、病人参数，以及距离下一次启动肺复张通气的时间、启动肺复张通气的时刻等信息的窗口，可以在特定的时间自动显示或者关闭，例如，在周期性的执行肺复张通气的过程中，每执行完一次肺复张通气之后，即可自动显示出包括距离下一次启动肺复张通气的时间的窗口，而在到达下一次启动肺复张通气的时间时，将自动关闭该窗口。此外，也可以在每一次执行肺复张通气时，自动显示出包括肺复张通气参数、病人参数的窗口，而在执行完肺复张通气时，自动关闭窗口。当然，在显示信息的窗口中还可包括关闭图标，在不需要查看相关信息时，可以通过触控操作选定该关闭图标，直接关闭窗口，而在显示界面中，还可以包括不同类型信息的窗口对应的打开图标，也可以通过触控操作选定该打开图标，以随时打开对应的窗口，显示出对应类型的信息。具体的窗口打开和关闭的方式本发明实施例不作限定。
图7为本发明实施例提供的一种示例性的显示界面的窗口布局示意图。如图7所示，在显示界面中，窗口1、窗口2和窗口3分别显示不同类型的通气相关波形，用户可以通过点击不同窗口右上方的关闭标识控制对应窗口的关闭，从而停止显示对应波形。具体的，窗口1用于显示二氧化碳变化波形，窗口2用于显示气道压力变化波形，窗口3用于显示送气流速变化波形。窗口4用于显示下一次启动肺复张通气的倒计时，用户可以通过双击窗口4内任意位置关闭窗口4。窗口5可以包括区域1和区域2两个区域，其中，区域1可以显示肺复张通气参数，区域2可以显示气道压力-容积环。具体的，用户可以通过点击窗口5中区域1左上方的关闭标识控制 窗口5关闭，而点击右上方的确定标识可以保存当前设置的肺复张通气参数。在窗口5下方还设置有停止标识，用户点击停止标识即可控制肺复张通气停止。此外，在显示界面下方还包括图标1、图标2、图标3、图标4，以及图标5，分别对应于窗口1、窗口2、窗口3、窗口4，以及窗口5，在窗口关闭的情况下，用户可以通过点击对应的图标，实现对应窗口的显示。当然，各窗口的布局，以及对各窗口的开启、关闭等操作可以采用其他方式实现，这里不一一描述。
本发明实施例提供了一种通气控制方法，接收肺复张通气参数指令和触发时间指令；根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。也就是说，本发明实施例提供的技术方案，能够自动根据接收到的触发时间指令和肺复张通气参数指令执行肺复张通气，提高了肺复张通气执行的智能性。
本发明另一实施例提供了一种通气控制装置。图1为本发明实施例提供的一种通气控制装置的结构示意图。如图1所示，通气控制装置包括：
接收模块101，接收肺复张通气参数指令和触发时间指令；
执行模块102，根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
可选的，执行模块102，在触发时间指令指示的一个预设时刻启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
可选的，执行模块102，在触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
可选的，执行模块102，根据触发时间指令指示的时间间隔，周期性的启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。
可选的，接收模块还101接收停止指令；
执行模块102在执行肺复张通气时，如果接收到接收模块输出的停止指令，则根据停止指令停止执行肺复张通气。
可选的，接收模块101还接收修改指令；
执行模块102在执行肺复张通气时，如果接收到接收模块101输出的修改指令，则根据修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
可选的，执行模块102在根据修改指令修改肺复张通气参数指令指示的肺复张通气参数时，如果修改指令指示的修改后的肺复张通气参数超出预设参数修改范围，输出超范围提示信息。
可选的，上述装置还包括显示模块103；
执行模块102根据肺复张通气参数指令执行肺复张通气的步骤时，还将病人参数、肺复张通气参数和肺复张通气触发时间中的一个或多个输出至显示模块103，以通过显示模块103进行显示。
可选的，上述装置还包括显示模块103；
执行模块102，还根据触发时间指令，将下一次启动肺复张通气的时刻和/或距离下一次启动肺复张通气的时间输出至显示模块103；
显示模块103，显示下一次启动肺复张通气的时刻和/或距离下一次启动肺复张通气的时间。
可选的，接收模块101还接收显示设置指令；
执行模块102，如果接收到接收模块输出的显示设置指令，根据显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。
可选的，病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化痰含量中的一种。
本发明实施例提供了一种通气控制装置，接收肺复张通气参数指令和 触发时间指令；根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令执行肺复张通气。也就是说，本发明实施例提供的通气控制装置，能够自动根据接收到的触发时间指令和肺复张通气参数指令执行肺复张通气，提高了肺复张通气执行的智能性。
本发明又一实施例提供了一种医用通气设备。图8为本发明实施例提供的一种医用通气设备的结构示意图。如图8所示，医用通气设备包括上述通气控制装置801，还包括：气源802和呼吸管路803；
气源802与通气控制装置801连接，在执行肺复张通气的过程中提供气体；
呼吸管路803与气源802和通气控制装置801连接，在执行肺复张通气的过程中提供呼吸路径。
本发明实施例提供了一种计算机可读存储介质，计算机可读存储介质存储有通气控制程序，通气控制程序可以被处理器执行，以实现上述通气控制方法。计算机可读存储介质可以是是易失性存储器(volatile memory)，例如随机存取存储器(Random-Access Memory，RAM)；或者非易失性存储器(non-volatile memory)，例如只读存储器(Read-Only Memory，ROM)，快闪存储器(flash memory)，硬盘(Hard Disk Drive，HDD)或固态硬盘(Solid-State Drive，SSD)；也可以是包括上述存储器之一或任意组合的各自设备，如移动电话、计算机、平板设备、个人数字助理等。
本领域内的技术人员应明白，本发明的实施例可提供为方法、系统、或计算机程序产品。因此，本发明可采用硬件实施例、软件实施例、或结合软件和硬件方面的实施例的形式。而且，本发明可采用在一个或多个其中包含有计算机可用程序代码的计算机可用存储介质(包括但不限于磁盘存储器和光学存储器等)上实施的计算机程序产品的形式。
本发明是参照根据本发明实施例的方法、设备(系统)、和计算机程序产品的流程图和/或方框图来描述的。应理解可由计算机程序指令实现流程 图和/或方框图中的每一流程和/或方框、以及流程图和/或方框图中的流程和/或方框的结合。可提供这些计算机程序指令到通用计算机、专用计算机、嵌入式处理机或其他可编程信号处理设备的处理器以产生一个机器，使得通过计算机或其他可编程信号处理设备的处理器执行的指令产生用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能的装置。
这些计算机程序指令也可存储在能引导计算机或其他可编程信号处理设备以特定方式工作的计算机可读存储器中，使得存储在该计算机可读存储器中的指令产生包括指令装置的制造品，该指令装置实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能。
这些计算机程序指令也可装载到计算机或其他可编程信号处理设备上，使得在计算机或其他可编程设备上执行一系列操作步骤以产生计算机实现的处理，从而在计算机或其他可编程设备上执行的指令提供用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能的步骤。
以上所述，仅为本发明的较佳实施例而已，并非用于限定本发明的保护范围。
工业实用性
在本发明实施例的技术方案中，接收肺复张通气参数指令和触发时间指令；根据触发时间指令启动肺复张通气，并根据肺复张通气参数指令通过医用通气设备执行肺复张通气。也就是说，本发明实施例提供的技术方案，能够自动根据接收到的触发时间指令和肺复张通气参数指令执行肺复张通气，提高了肺复张通气执行的智能性。

Claims (24)

  1. 一种通气控制方法，应用于医用通气设备，其特征在于，所述方法包括：
    接收肺复张通气参数指令和触发时间指令；
    根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  2. 根据权利要求1所述的方法，其特征在于，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
    在所述触发时间指令指示的一个预设时刻启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  3. 根据权利要求1所述的方法，其特征在于，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
    在所述触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  4. 根据权利要求1所述的方法，其特征在于，所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤包括：
    根据所述触发时间指令指示的时间间隔，周期性的启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  5. 根据权利要求1所述的方法，其特征在于，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医 用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
    如果接收到停止指令，则根据所述停止指令停止执行所述肺复张通气。
  6. 根据权利要求1至4任一项所述的方法，其特征在于，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
    如果接收到修改指令，则根据所述修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；
    根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
  7. 根据权利要求6所述的方法，其特征在于，在执行所述根据所述修改指令修改所述肺复张通气参数指令指示的肺复张通气参数的步骤时，所述方法还包括：
    如果所述修改指令指示的所述修改后的肺复张通气参数超出预设参数可修改范围，输出超范围提示信息。
  8. 根据权利要求1至7任一项所述的方法，其特征在于，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令执行所述肺复张通气的步骤时，所述方法还包括：
    显示病人参数、所述肺复张通气参数和肺复张通气触发时间中的一个或多个。
  9. 根据权利要求1至7任一项所述的方法，其特征在于，在执行所述根据所述触发时间指令启动肺复张通气的步骤之前，所述方法还包括：
    显示下一次启动所述肺复张通气的时刻和/或显示距离下一次启动所述肺复张通气的时间。
  10. 根据权利要求1至4任一项所述的方法，其特征在于，在执行所述根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气的步骤时，所述方法还包括：
    根据显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。
  11. 根据权利要求8所述的方法，其特征在于，所述病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化碳含量中的一种。
  12. 一种通气控制装置，应用于医用通气设备，其特征在于，所述装置包括：
    接收模块，接收肺复张通气参数指令和触发时间指令；
    执行模块，根据所述触发时间指令启动肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  13. 根据权利要求12所述的装置，其特征在于，
    所述执行模块，在所述触发时间指令指示的一个预设时刻启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  14. 根据权利要求12所述的装置，其特征在于，
    所述执行模块，在所述触发时间指令指示的至少两个预设时刻中的每一个时刻，分别启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  15. 根据权利要求12所述的装置，其特征在于，
    所述执行模块，根据所述触发时间指令指示的时间间隔，周期性的启动所述肺复张通气，并根据所述肺复张通气参数指令通过所述医用通气设备执行所述肺复张通气。
  16. 根据权利要求12所述的装置，其特征在于，
    所述接收模块还接收停止指令；
    所述执行模块接收到所述接收模块输出的所述停止指令，则根据所述停止指令停止执行所述肺复张通气。
  17. 根据权利要求12至15任一项所述的装置，其特征在于，
    所述接收模块还接收修改指令；
    所述执行模块接收到所述接收模块输出的所述修改指令，则根据所述修改指令修改对应的肺复张通气参数和/或肺复张通气触发时间；并根据修改后的肺复张通气参数和/或肺复张通气触发时间启动下一次肺复张通气。
  18. 根据权利要求17所述的装置，其特征在于，
    所述执行模块在根据所述修改指令修改所述肺复张通气参数指令指示的肺复张通气参数时，如果所述修改指令指示的所述修改后的肺复张通气参数超出预设参数修改范围，输出超范围提示信息。
  19. 根据权利要求12至18任一项所述的装置，其特征在于，所述装置还包括显示模块；
    所述执行模块还将病人参数、肺复张通气参数和肺复张通气触发时间中的一个或多个输出至所述显示模块，以通过所述显示模块进行显示；和/或
    所述执行模块还根据所述触发时间指令，将下一次启动所述肺复张通气的时刻和/或距离下一次启动所述肺复张通气的时间输出至所述显示模块，以通过所述显示模块显示所述下一次启动所述肺复张通气的时刻和/或距离下一次启动所述肺复张通气的时间。
  20. 根据权利要求12至15任一项所述的装置，其特征在于，
    所述接收模块还接收显示设置指令；
    所述执行模块，如果接收到所述接收模块输出的所述显示设置指令，根据所述显示设置指令，调整显示病人参数、肺复张通气参数、肺复张通气触发时间中一个或多个参数的显示形式和/或显示区域。
  21. 根据权利要求19所述的装置，其特征在于，所述病人参数至少包括气道压力、气道峰压、呼气末正压、顺应性、潮气量、血氧、血压、心率、心排和二氧化碳含量中的一种。
  22. 一种包含权利要求12-21任一项所述通气控制装置的医用通气设备，其特征在于，所述医用通气设备还包括：气源和呼吸管路；
    所述气源与所述通气控制装置连接，在执行所述肺复张通气的过程中提供气体；
    所述呼吸管路与所述气源和所述通气控制装置连接，在执行所述肺复张通气的过程中提供呼吸路径。
  23. 根据权利要求22所述的医用通气设备，其特征在于，所述医用通气设备为麻醉机。
  24. 一种计算机可读存储介质，其特征在于，所述计算机可读存储介质存储有通气控制程序，所述通气控制程序可以被处理器执行，以实现权利要求1-11任一项所述的通气控制方法。
PCT/CN2019/093101 2019-06-26 2019-06-26 一种通气控制方法及装置、医用通气设备、存储介质 Ceased WO2020258097A1 (zh)

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