CN105879171B - A kind of positive and negative pressure breathing machine - Google Patents

A kind of positive and negative pressure breathing machine Download PDF

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Publication number
CN105879171B
CN105879171B CN201610198944.3A CN201610198944A CN105879171B CN 105879171 B CN105879171 B CN 105879171B CN 201610198944 A CN201610198944 A CN 201610198944A CN 105879171 B CN105879171 B CN 105879171B
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Prior art keywords
pressure
positive
pipeline
gas flow
generation device
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CN105879171A (en
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韩芳
王晓芝
孙运良
吕长俊
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Peking University Peoples Hospital
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Binzhou Medical University Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M16/0009Accessories therefor, e.g. sensors, vibrators, negative pressure with sub-atmospheric pressure, e.g. during expiration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The present invention provides a kind of positive and negative pressure breathing machines, including facial breathing equipment, master controller, and the positive pressure gas flow generation device and depression generator that are electrically connected respectively with the master controller;Positive pressure gas flow generation device and depression generator are connected with facial breathing equipment respectively;It being connected to when for being connected to the pipeline of positive pressure gas flow generation device and facial breathing equipment with the pipeline difference for being connected to depression generator and facial breathing equipment, pressure sensor is being respectively equipped with for being connected to the positive/negative-pressure generating means with the pipeline of facial breathing equipment and for being connected on the pipeline of the positive pressure gas flow generation device and facial breathing equipment.The deficiency that cannot be directly used to measure the air flue critical closing pressure for the normal population that air flue critical closing pressure is negative value the present invention overcomes existing noninvasive ventilator, the measurement of associated patient air flue critical closing pressure is carried out convenient for doctor, and can improve measurement accuracy.

Description

A kind of positive and negative pressure breathing machine
Technical field
The present invention relates to field of medical device, specifically a kind of positive and negative pressure breathing machine.
Background technology
Air flue critical closing pressure (Pcrit) refers to pressure when sleep state epithelium healing entirely shuts, and is considered as evaluation Epithelium healing suffers from sleep apnea syndrome risk by the reliability index of kinetic characteristics, commonly used in assessment normal population Just.
The air flue critical closing pressure of normal person be mostly be less than -8cmH2O, no matter therefore sleep when expiration or air-breathing, on Air flue is in open state always.And the air flue critical closing pressure of patients with sleep apnea up to 0cmH2O even with On.
And currently, noninvasive ventilator both domestic and external is mostly normal pressure lung ventilator, above-mentioned normal person cannot be directly measured The air flue critical closing pressure of group.The air flue critical closing pressure of the part population can only be ventilated indirectly by Sforza methods according to maximum Amount and piezometry curve tracing solve Pcrit.And Sforza methods measure very complicated, accuracy is low so that this finger of Pcrit Being marked on clinically cannot preferably apply.This is in place of the deficiencies in the prior art.
Invention content ..
The technical problem to be solved by the present invention is in view of the deficiencies of the prior art, provide a kind of positive and negative pressure breathing machine, use It is critical for the air flue of the normal population of negative value in overcoming existing noninvasive ventilator to cannot be directly used to measurement air flue critical closing pressure It is closed the deficiency of pressure, and for improving the convenience measured patient airway critical closing pressure and precision.
In order to solve the above technical problems, the present invention provides a kind of positive and negative pressure breathing machines, including it is used to cover patient's mouth and nose Facial breathing equipment, the master controller with operation interface and input/output interface, and respectively with the described master controller electricity The positive pressure gas flow generation device and depression generator of connection;The positive pressure gas flow generation device and depression generator difference It is connected with the facial breathing equipment by pipeline;For being connected to the positive pressure gas flow generation device and the face breathing It is connected to when the pipeline of device is with the pipeline difference for being connected to the depression generator and the facial breathing equipment;For even Lead to the positive pressure gas flow generation device and the facial breathing equipment pipeline be equipped with for measuring the pipeline inner pressure the One pressure sensor, the pipeline for being connected to the depression generator and the facial breathing equipment are equipped with for measuring this The second pressure sensor of pipeline inner pressure, the first pressure sensor, second pressure sensor respectively with the master Controller is electrically connected.
Wherein, master controller is used to receive the detection signal of two pressure sensors and for positive pressure gas described in feedback regulation The work of stream generation apparatus and depression generator, to ensure the stabilization of pressure in respective line.Specifically, two pressure sensor On the one hand it for measuring the air pressure in its measured pipeline, and is respectively used to measuring signal reaching master controller, in main control Under the action of device, the display that above-mentioned each measurement of correlation signal corresponds to atmospheric pressure value is carried out by the display screen in operation interface;It is another Aspect is matched with the master controller, positive pressure gas flow generation device, depression generator, stablizes the air-flow pressure in each pipeline Power.
When measuring the air flue critical closing pressure of patient, patient's mouth and nose are covered with face breathing equipment first, are adjusted for connecting Lead to the pipeline of the positive pressure gas flow generation device and the facial breathing equipment(Call pipeline I in the following text)Conducting, the master controller In the inner the pressure value I in preset pipeline I, control positive pressure gas flow generation device work give patient to carry out basis to base Ventilation;Pipeline of the master controller also based on preset depression generator in it and the facial breathing equipment simultaneously(Under Claim pipeline II)Interior pressure value II, control depression generator work, but the conducting of pipeline I at this time, pipeline II end.It waits for After above-mentioned basis ventilation is completed, control piper II is connected, pipeline I ends, at this time master controller based in above-mentioned its in advance Pressure value II in the pipeline II of setting continues control depression generator and works;Second pressure sensor detects in real time Currently practical pressure in the pipeline II, and detection signal is sent to master controller in real time, master controller is current by it later The signal value received(Call pressure value III in the following text)It is compared with the pressure value II in preset pipeline II:If pressure value III Do not stop to change up and down on the basis of pressure value II, then illustrates still there is air-flow breathing at patient's mouth and nose(Those skilled in the art are equal Know), above-mentioned pipeline I is connected at this time(End pipeline II simultaneously), after above-mentioned pressure value II is reset by master controller, weight The multiple above operation, until finding the maximum value of air flue closure, the maximum value that air flue is closed is that the air flue of the patient is closed pressure;If Pressure value III no longer changes equal to pressure value II, then air-flow stops at patient's mouth and nose, illustrates that patient airway is closed at this time, this When repeat above-mentioned basis ventilation immediately, and based on current pressure value III, above-mentioned pressure value is reset by master controller It after II, repeats above operation, until finding the maximum value of air flue closure, the maximum value that air flue is closed is that the air flue of the patient closes Combined pressure.
In addition, lung ventilator of the present invention is not only convenient for the air flue critical closing pressure of doctor measuring patient, and without When measuring the air flue critical closing pressure of patient, common lung ventilator can be considered as and used, it is vdiverse in function, it is more practical.
In addition, it is directly to be measured from that the air flue that the present invention is measured by positive and negative pressure breathing machine described herein, which is closed pressure, , compared with prior art, data are more accurate.
The positive pressure gas flow generation device is sequentially filled by positive pressure tracheae, lung ventilator connecting tube and the face breathing It sets and is connected, the depression generator is sequentially exhaled by negative pressure tracheae, the lung ventilator connecting tube with the face Device is inhaled to be connected.
The positive pressure tracheae, negative pressure tracheae are connected with the lung ventilator connecting tube by triple valve.
The positive pressure gas flow generation device is connected with the depression generator by a pipeline with air inlet pipe, institute The triple valve stated is connected by an escape pipe with the lung ventilator connecting tube.
The triple valve uses three-way magnetic valve.
The three-way magnetic valve is electrically connected by a control switch with the master controller.The control switch is used In the conducting state of control three-way magnetic valve, in order to which doctor carries out air flue critical closing pressure information collection.
Filter screen is equipped in the air inlet pipe, for filtering the dust flowed into air inlet pipe in air-flow.
Filter screen is equipped in the escape pipe, for be filtered through escape pipe enter dust in the air-flow in shell, Moisture and bacterium.
The positive pressure gas flow generation device uses positive pressure turbofan or positive pressure fan, the depression generator to adopt With negative pressure turbine fan or negative-pressure air fan.
The facial breathing equipment is the mask with venthole.
Compared with the prior art, the advantages of the present invention are as follows:
(1) present invention includes for covering the facial breathing equipment of patient's mouth and nose, being connect with operation interface and input and output Mouthful master controller, and the positive pressure gas flow generation device and depression generator that are electrically connected respectively with the master controller; The positive pressure gas flow generation device and depression generator are connected by pipeline with the facial breathing equipment respectively;With In being connected to the pipeline of the positive pressure gas flow generation device and the facial breathing equipment and be used to be connected to the depression generator It is connected to when with the pipeline difference of the facial breathing equipment.For being connected to the positive pressure gas flow generation device and the face breathing The pipeline of device is equipped with the first pressure sensor for measuring the pipeline inner pressure, for being connected to the depression generator It is equipped with the second pressure sensor for measuring the pipeline inner pressure with the pipeline of the facial breathing equipment;The positive/negative-pressure is exhaled Suction machine is directly used in the pressure value measured when patient airway is closed, can overcome noninvasive ventilator in the prior art that cannot directly survey The deficiency that air flue critical closing pressure is negative value is measured, can also overcome in the prior art can only be logical according to maximum indirectly by Sforza methods The deficiency of tolerance and piezometry curve diagram patient airway critical closing pressure, and because passing through positive and negative pressure breathing described herein The air flue that machine measures is closed pressure and is directly measured from, and data are more accurate;In addition, compared with the prior art, using more It is convenient, it is more practical.
(2) lung ventilator of the present invention is not only convenient for the air flue critical closing pressure of doctor measuring patient, and is being not used in When measuring the air flue critical closing pressure of patient, common lung ventilator can be considered as and used, it is vdiverse in function, convenient for storage, and It is economical and practical.
It can be seen that compared with prior art, the present invention with substantive distinguishing features outstanding and significant progress, implement Advantageous effect be also obvious.
Description of the drawings
Fig. 1 is the structural schematic diagram of positive and negative pressure breathing machine of the present invention.
Wherein:1 is positive pressure gas flow generation device, and 2 be depression generator, and 3 be master controller, and 4 be positive pressure tracheae, and 5 are Negative pressure tracheae, 6 be first pressure sensor, and 7 be second pressure sensor, and 8 be triple valve, and 9 be lung ventilator connecting tube, and 10 be face Portion's breathing equipment, 11 be filter screen, and 12 be air inlet pipe, and 13 be escape pipe, and 14 be filter screen, and 15 switch in order to control.
Specific implementation mode
To keep technical scheme of the present invention and advantage clearer, below in conjunction with the attached drawing of the present invention, to the present invention's Technical solution is clearly and completely described.
As shown in Figure 1, a kind of positive and negative pressure breathing machine of the present invention, includes the facial breathing equipment for covering patient's mouth and nose 10, the master controller 3 with operation interface and input/output interface, and be electrically connected just with the master controller 3 respectively It calms the anger stream generation apparatus 1 and depression generator 2.The positive pressure gas flow generation device 1 and depression generator 2 passes through respectively Pipeline is connected with the facial breathing equipment 10, for being connected to the positive pressure gas flow generation device 1 and the face breathing The pipeline of device 10(Call pipeline I in the following text)With the pipeline for being connected to the depression generator 2 and the facial breathing equipment 10 (Call pipeline II in the following text)Asynchronously it is connected to.The pipeline I is equipped with the first pressure sensor for measuring pressure in the pipeline I 6, the pipeline II is equipped with the second pressure sensor 7 for measuring pressure in the pipeline II, the first pressure sensor 6, second pressure sensor 7 is electrically connected with the master controller 3 respectively.
The positive pressure gas flow generation device 1 sequentially passes through positive pressure tracheae 4, lung ventilator connecting tube 9(To protrude the structure, It is represented by dashed line in the accompanying drawings)It is connected with the facial breathing equipment 10, the depression generator 2 sequentially passes through Negative pressure tracheae 5, the lung ventilator connecting tube 9 are connected with the facial breathing equipment 10.The positive pressure tracheae 4 and negative Air pipe 5 is connected by a triple valve 8 with the lung ventilator connecting tube 9, the triple valve 8 be three-way magnetic valve, described three Three-way electromagnetic valve is electrically connected with the master controller 3.In use, by the described three-way magnetic valve control pipeline I with The pipeline II is connected to when different(When in use, it is connected in a manner of selecting the 2 of a connection and selecting 1).The threeway electromagnetism Control switch 15 is equipped between valve and the master controller 3.The control switch 15 uses toggle switch.The control is opened The use for closing 15, convenient for doctor according to the flexible switching for carrying out pipeline to the practical measurement situation of patient.
In the present embodiment, the outlet of the air inlet and the depression generator 2 of the positive pressure gas flow generation device 1 Mouth is connected by a pipeline with air inlet pipe 12, and the outlet of the three-way magnetic valve is exhaled by an escape pipe 13 with described Suction machine connecting tube 9 is connected.
Wherein in the present embodiment, the lung ventilator connecting tube 9 is detachably connected with the facial breathing equipment 10, just In the actual conditions according to patient, sizeable facial breathing equipment 10, using flexible are replaced.
Filter screen 11 is equipped in the air inlet pipe 12, for filtering the dust in stream inflow stream.
Filter screen 14 is equipped in the escape pipe 13, for filter dust in stream inflow housing inner tube road in air-flow, Moisture and bacterium, to increase the service life of positive and negative pressure breathing machine of the present invention.
Wherein in this embodiment, the positive pressure gas flow generation device 1 uses positive pressure turbofan, described It is the oral nose mask with venthole that depression generator 2, which uses negative pressure turbine fan, the facial breathing equipment 10,.
In addition, in the air flue critical closing pressure that need not measure patient, can the present invention be used as common lung ventilator makes With.The perfect function of existing lung ventilator of the present invention, avoids lung ventilator and for measuring patient airway critical closing pressure The independent of pertinent instruments is introduced and is stored respectively, has not only been saved cost, has been also ad save parking space.
When measuring the air flue critical closing pressure of patient using this positive and negative pressure breathing machine, trouble is covered with face breathing equipment first Person's mouth and nose adjust pipeline I and are connected(Pipeline II is ended at this time), the master controller base preset pipeline I in the inner Interior pressure value I, control positive pressure gas flow generation device work, i.e., carry out basic ventilation to patient(It ventilates to patient falls asleep and enters II phase slept);Master controller controls depression generator also based on the pressure value II in preset pipeline in it II simultaneously It works, but pipeline II is in cut-off state at this time.After waiting for that above-mentioned basis ventilation is completed, control piper II is connected(At this time Pipeline I is ended)(The connection of above-mentioned pipeline II is carried out at patient expiration end), at this time master controller based in above-mentioned its in advance Pressure value II in the pipeline II of setting continues control depression generator and works;Second pressure sensor detects in real time Currently practical pressure in the pipeline II, and detection signal is sent to master controller in real time, master controller is current by it later The signal value received(Currently practical pressure i.e. in above-mentioned pipeline II, calls pressure value III in the following text)In preset pipeline II Pressure value II be compared:If the fluctuation up and down on the basis of pressure value II of pressure value III, illustrates still have at patient's mouth and nose Air-flow breathes(Those skilled in the art know), above-mentioned pipeline I is connected at this time(There is pipeline II to be ended simultaneously), pass through main control It after thinking highly of the above-mentioned pressure value II of new settings, repeats above operation, until finding the maximum value of air flue closure, air flue is closed most Big value is that the air flue of the patient is closed pressure;If the pressure value III no longer changes equal to pressure value II, at patient's mouth and nose Air-flow stops, and illustrates that patient airway is closed at this time, repeats above-mentioned basis ventilation immediately at this time, and based on current pressure value III, it after above-mentioned pressure value II is reset by master controller, repeats above operation, until finding the maximum of air flue closure Value, the maximum value that air flue is closed are that the air flue of the patient is closed pressure.
The assay method of traditional air flue closure pressure is again:If it is positive pressure that air flue, which is closed pressure, can be straight with positive pressure respirator It connects and measures;But if air flue closure pressure is negative value, pressure and air velocity can only be measured by Sforza fados time, drawn Pressure current curve, it is zero then to extend curve to flow velocity, and the pressure of this point is closed as air flue and is pressed.But the compliance of air flue Influenced by polylith muscle and tongue body etc., make pressure flow velocity not and be linear line relationship, the artificial extension error of curve compared with Greatly.
Therefore, the gas that air flue is closed the patient that pressure is negative value is directly measured in view of positive and negative pressure breathing function of the present invention Road is closed pressure, and the present invention largely avoids the dry of artificial subjective factor when other complicated factors and later stage calculation processing It disturbs, accuracy is relatively high.
Embodiment of above is merely illustrative of the technical solution of the present invention, rather than its limitations;Although with reference to aforementioned implementation Invention is explained in detail for mode, it will be understood by those of ordinary skill in the art that:It still can be to aforementioned each Technical solution recorded in embodiment is modified or equivalent replacement of some of the technical features;And these are repaiied Change or replaces, the range for each embodiment technical solution of the present invention that it does not separate the essence of the corresponding technical solution.

Claims (6)

1. a kind of positive and negative pressure breathing machine, it is characterised in that:Include for covering the facial breathing equipment of patient's mouth and nose, with operation The master controller at interface and input/output interface, and the positive pressure gas flow generation device that is electrically connected respectively with the master controller and Depression generator;The positive pressure gas flow generation device and depression generator are breathed by pipeline and the face respectively Device is connected;The positive pressure gas flow generation device is sequentially exhaled by positive pressure tracheae, lung ventilator connecting tube and the face It inhales device to be connected, the depression generator sequentially passes through negative pressure tracheae, the lung ventilator connecting tube and the face Portion's breathing equipment is connected;The positive pressure tracheae, negative pressure tracheae are connected with the lung ventilator connecting tube by triple valve;Institute The triple valve stated uses three-way magnetic valve;The three-way magnetic valve is electrically connected by a control switch with the master controller It connects;Pipeline for being connected to the positive pressure gas flow generation device and the facial breathing equipment occurs with for being connected to the negative pressure It is connected to when device is with the pipeline difference of the facial breathing equipment;For being connected to the positive pressure gas flow generation device and the face The pipeline of breathing equipment is equipped with the first pressure sensor for measuring the pipeline inner pressure, and first pressure sensor setting exists Between the positive pressure gas flow generation device and the three-way magnetic valve, exhaled for being connected to the depression generator and the face The pipeline of device is inhaled equipped with the second pressure sensor for measuring the pipeline inner pressure, and second pressure sensor is arranged in institute State between depression generator and the three-way magnetic valve, the first pressure sensor, second pressure sensor respectively with The master controller electrical connection.
2. positive and negative pressure breathing machine according to claim 1, it is characterised in that:The positive pressure gas flow generation device with it is described Depression generator by one with air inlet pipe pipeline be connected, the triple valve passes through an escape pipe and the breathing Machine connecting tube is connected.
3. positive and negative pressure breathing machine according to claim 2, it is characterised in that:Filter screen is equipped in the air inlet pipe.
4. positive and negative pressure breathing machine according to claim 2, it is characterised in that:Filter screen is equipped in the escape pipe.
5. positive and negative pressure breathing machine according to claim 1 or 2, it is characterised in that:The positive pressure gas flow generation device is adopted With positive pressure turbofan or positive pressure fan, the depression generator uses negative pressure turbine fan or negative-pressure air fan.
6. positive and negative pressure breathing machine according to claim 1 or 2, it is characterised in that:The facial breathing equipment be with The mask of venthole.
CN201610198944.3A 2016-04-01 2016-04-01 A kind of positive and negative pressure breathing machine Active CN105879171B (en)

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CN201610198944.3A CN105879171B (en) 2016-04-01 2016-04-01 A kind of positive and negative pressure breathing machine

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CN105879171B true CN105879171B (en) 2018-09-14

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN200960346Y (en) * 2006-10-13 2007-10-17 赵子文 Unwound positive and negative pressure respiratory assistance device
CN101505820A (en) * 2006-07-13 2009-08-12 Ric投资有限责任公司 Delivery of positive and negative pressure ventilation
CN103330962A (en) * 2013-07-08 2013-10-02 北京航空航天大学 Sputum suction device with breath simulating function
CN204910377U (en) * 2015-07-01 2015-12-30 北京雅果科技有限公司 Take nothing of bionical row of phlegm function to create breathing machine

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007054829A2 (en) * 2005-09-26 2007-05-18 Innovent Medical Solutions, Inc. Combined ventilator inexsufflator

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101505820A (en) * 2006-07-13 2009-08-12 Ric投资有限责任公司 Delivery of positive and negative pressure ventilation
CN200960346Y (en) * 2006-10-13 2007-10-17 赵子文 Unwound positive and negative pressure respiratory assistance device
CN103330962A (en) * 2013-07-08 2013-10-02 北京航空航天大学 Sputum suction device with breath simulating function
CN204910377U (en) * 2015-07-01 2015-12-30 北京雅果科技有限公司 Take nothing of bionical row of phlegm function to create breathing machine

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