Summary of the invention
The present invention is directed at least solve one of above-mentioned technical problem.
For this purpose, the first purpose of this invention is to propose a kind of method for reducing Breathing Suppotion equipment man-machine confrontation, it can
The interpersonal confrontation of Breathing Suppotion equipment is effectively reduced.
To achieve the goals above, embodiment of the invention discloses a kind of sides for reducing Breathing Suppotion equipment man-machine confrontation
Method, comprising the following steps: the Breathing Suppotion is initialized according to the age for the user for using Breathing Suppotion equipment, gender, height
Ventilation support is carried out to the user after the control of breathing parameter of equipment;Monitor the breathing relevant parameter information of the user, root
The control of breathing parameter is adjusted according to the breathing relevant parameter information, to achieve the purpose that man-machine synchronization.
It is according to an embodiment of the present invention reduce Breathing Suppotion equipment man-machine confrontation method, according to the age of patient, gender,
The control of breathing parameter of Breathing Suppotion equipment is rationally arranged in height and breathing relevant parameter information, and Breathing Suppotion can be effectively reduced
Equipment man-machine confrontation.
In addition, it is according to the above embodiment of the present invention reduce Breathing Suppotion equipment man-machine confrontation method can also have as
Under additional technical characteristic:
Optionally, the control of breathing parameter includes tidal volume, fraction of inspired oxygen, gas end positive pressure, original frequency and breathing
Than the control of breathing ginseng of the Breathing Suppotion equipment according to the age of the user, gender, height and illness information setting
Several steps, specifically includes: obtaining the ideal body weight of the user according to the age of the user, gender, height, and according to institute
State tidal volume described in ideal body weight and default lung preversation strategy setting;It is set according to the blood oxygen saturation of the user and pressure value
Set the fraction of inspired oxygen and the end-expiratory positive pressure;The initial frequency is arranged in respiratory rate when not going up machine according to the user
Rate;According to the autonomous respiration frequency or standard frequency of the user, the respiratory quotient is set.
Optionally, further includes: if the Breathing Suppotion equipment operates under ventilating mode, adjust the breathing in real time
The expiration tidal volume of holding equipment reaches standard tidal volume.
Optionally, if the Breathing Suppotion equipment operates under ventilating mode, the breathing branch is adjusted in real time
It the step of expiration tidal volume of holding equipment reaches standard tidal volume, specifically includes: if the Breathing Suppotion equipment operates in pressure
Power controls under ventilating mode, then adjusts the pressure of inspiration(Pi) of the Breathing Suppotion equipment in real time, so that the Breathing Suppotion equipment
Expiration tidal volume reaches standard tidal volume;If there are autonomous respirations by the user, the Breathing Suppotion equipment is adjusted in real time
Support pressure so that the expiration tidal volume of the Breathing Suppotion equipment reaches standard tidal volume.
Optionally, the breathing relevant parameter includes the autonomous respiration frequency of the user, then described according to the breathing
Relevant parameter information adjusts the step of control of breathing parameter, comprising: if the respiratory rate of the user is more than default exhale
Frequency threshold is inhaled, then the ventilatory frequency of the Breathing Suppotion equipment is adjusted according to the autonomous respiration frequency of the user, by institute
The autonomous respiration frequency for stating user is adjusted in default normal range (NR).
Optionally, further includes: when Breathing Suppotion equipment man-machine confrontation occurs, reduce pressure activated sensitivity or reduce stream
Trigger sensitivity is measured, to reduce the autonomous respiration of the user, to reduce Breathing Suppotion equipment man-machine confrontation.
Optionally, further includes: when Breathing Suppotion equipment man-machine confrontation occurs, increase the moisture of the Breathing Suppotion equipment
Amount;After the user is synchronous with the Breathing Suppotion equipment, the tidal volume of the Breathing Suppotion equipment is gradually reduced.
Optionally, further includes: when Breathing Suppotion equipment man-machine confrontation occurs, if the oxygen intake amount of the user and
The amount of giving off carbon dioxide meets default respiratory drive sufficiency, then reduces the ventilatory frequency of the Breathing Suppotion equipment, thus
Reduce intervention of the control ventilation to the user.
Optionally, further includes: when Breathing Suppotion equipment man-machine confrontation occurs, if the Breathing Suppotion equipment output wave
Shape is unsatisfactory for default integrity degree waveform condition, the expiratory resistance of the user becomes larger and airway pressure increases, then prompts user to inhale
Phlegm.
Optionally, further includes: when Breathing Suppotion equipment man-machine confrontation occurs, if the autonomous respiration frequency of the user
More than predeterminated frequency threshold value and the duration is more than preset time, then prompt uses tranquillizer to the user, described in inhibiting
The autonomous respiration of user.
For this purpose, second object of the present invention is to propose a kind of system for reducing Breathing Suppotion equipment man-machine confrontation, it can
The interpersonal confrontation of Breathing Suppotion equipment is effectively reduced.
To achieve the goals above, it is embodiment of the invention discloses a kind of reduction Breathing Suppotion equipment man-machine confrontation
System, comprising: data acquisition module, for obtaining the age, gender and the height that use the user of Breathing Suppotion equipment;Monitor mould
Block, for monitoring the breathing relevant parameter of the user;Control module, for according to the age of the user, gender and height
It initializes and controls the Breathing Suppotion equipment after the control of breathing parameter of the Breathing Suppotion equipment ventilation support is carried out to user,
It is also used to adjust the control of breathing parameter according to the breathing relevant parameter, to achieve the purpose that man-machine synchronization.
It is according to an embodiment of the present invention reduce Breathing Suppotion equipment man-machine confrontation system, according to the age of patient, gender,
The control of breathing parameter of Breathing Suppotion equipment is rationally arranged in height and breathing relevant parameter information, and Breathing Suppotion can be effectively reduced
Equipment man-machine confrontation.
In addition, it is according to the above embodiment of the present invention reduce Breathing Suppotion equipment man-machine confrontation system can also have as
Under additional technical characteristic:
Optionally, the control of breathing parameter includes tidal volume, fraction of inspired oxygen, gas end positive pressure, original frequency and breathing
Than;The control module is specifically used for obtaining the ideal body weight of the user according to the age of the user, gender, height, and
According to tidal volume described in the ideal body weight and default lung preversation strategy setting;The control module is also used to according to the user
Blood oxygen saturation and pressure value the fraction of inspired oxygen and the end-expiratory positive pressure are set;The control module is also used to basis
The original frequency is arranged in respiratory rate when the user does not go up machine;The control module be also used to according to the user from
The respiratory quotient is arranged in main respiratory rate or standard frequency.
Optionally, the breathing relevant parameter includes the expiration tidal volume of the user, and the control module is also used to
The Breathing Suppotion equipment, which operates under ventilating mode, to be adjusted the expiration tidal volume of the user in real time and reaches standard tidal volume.
Optionally, if the control module is also used to the Breathing Suppotion equipment and operates in pressure controlled ventilation mode
Under, then the pressure of inspiration(Pi) of the Breathing Suppotion equipment is adjusted in real time, so that the expiration tidal volume of the Breathing Suppotion equipment reaches
Standard tidal volume;If the control module is also used to the user, there are autonomous respirations, adjust the Breathing Suppotion in real time
The support pressure of equipment, so that the expiration tidal volume of the user reaches standard tidal volume.
Optionally, the breathing relevant parameter includes the autonomous respiration frequency of the user, and the control module is also used to
If the respiratory rate of the user is more than default respiratory rate threshold value, institute is adjusted according to the autonomous respiration frequency of the user
The autonomous respiration frequency of the user is adjusted in default normal range (NR) by the ventilatory frequency for stating Breathing Suppotion equipment.
Optionally, the control module is also used to when Breathing Suppotion equipment man-machine confrontation occurs, and reduces pressure activated spirit
Sensitivity reduces flow triggering sensitivity, to reduce the autonomous respiration of the user, so that it is man-machine right to reduce Breathing Suppotion equipment
It is anti-.
Optionally, the monitoring modular is also used to monitor the user and whether the Breathing Suppotion equipment is synchronous, described
Control module is also used to increase the tidal volume of the Breathing Suppotion equipment when Breathing Suppotion equipment man-machine confrontation occurs;Work as institute
State user it is synchronous with the Breathing Suppotion equipment after, gradually reduce the tidal volume of the Breathing Suppotion equipment.
Optionally, the breathing relevant parameter includes the oxygen intake amount and the amount of giving off carbon dioxide of the user, described
Control module is also used to when Breathing Suppotion equipment man-machine confrontation occurs, if the oxygen intake amount of the user and exhalation dioxy
Change carbon amounts and meet default respiratory drive sufficiency, then the ventilatory frequency of the Breathing Suppotion equipment is reduced, to reduce control
The intervention ventilated to the user.
Optionally, further includes: cue module, for being prompted;Wherein, the control module is also used to breathing
When holding equipment man-machine confrontation, if the Breathing Suppotion equipment output waveform is unsatisfactory for default integrity degree waveform condition, described
The expiratory resistance of user becomes larger and airway pressure increases, then prompts user's suction sputum by the cue module.
Optionally, the breathing relevant parameter includes the autonomous respiration frequency of the user, and the control module is also used to
When Breathing Suppotion equipment man-machine confrontation occurs, if the autonomous respiration frequency of the user is more than predeterminated frequency threshold value and continues
Time is more than preset time, then prompt uses tranquillizer to the user, to inhibit the autonomous respiration of the user.
Additional aspect and advantage of the invention will be set forth in part in the description, and will partially become from the following description
Obviously, or practice through the invention is recognized.
Specific embodiment
The embodiment of the present invention is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end
Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached
The embodiment of figure description is exemplary, and for explaining only the invention, and is not considered as limiting the invention.
Referring to following description and drawings, it will be clear that these and other aspects of the embodiment of the present invention.In these descriptions
In attached drawing, some particular implementations in the embodiment of the present invention are specifically disclosed, to indicate to implement implementation of the invention
Some modes of the principle of example, but it is to be understood that the scope of embodiments of the invention is not limited.On the contrary, of the invention
Embodiment includes all changes, modification and the equivalent fallen within the scope of the spirit and intension of attached claims.
The present invention provides the method and system for reducing Breathing Suppotion equipment man-machine confrontation, and Breathing Suppotion equipment therein can
Think that ventilator, Anesthesia machine etc. have the machine of Breathing Suppotion function.Machine type can be therapeutic type machine, first aid type machine
Device, domestic type machine etc..
The method of reduction Breathing Suppotion equipment man-machine confrontation of the invention is described below in conjunction with attached drawing.
Fig. 1 is the flow chart of the method for the reduction Breathing Suppotion equipment man-machine confrontation of one embodiment of the invention.Such as Fig. 1 institute
Show, the method for the reduction Breathing Suppotion equipment man-machine confrontation of the embodiment of the present invention, comprising the following steps:
S1: exhaling for Breathing Suppotion equipment is initialized according to the age for the user for using Breathing Suppotion equipment, gender and height
Ventilation support is carried out to user after inhaling control parameter.
Specifically, it before user is using Breathing Suppotion equipment, needs to be exhaled according to the age of user, gender, height initialization
Inhale the control of breathing parameter of holding equipment.Breathing Suppotion equipment is controlled after the control of breathing parameter of initialization Breathing Suppotion equipment
Ventilation support is carried out to user.
S2: monitoring the breathing relevant parameter information of user, adjusts control of breathing parameter according to breathing relevant parameter information, with
Achieve the purpose that man-machine synchronization.
In one embodiment of the invention, control of breathing parameter include tidal volume, fraction of inspired oxygen, end-expiratory positive pressure,
Original frequency and respiratory quotient, then step S2 include:
S2-1: the ideal body weight of user is obtained according to the age of user, gender, height, and according to ideal body weight and is preset
The tidal volume of lung preversation strategy setting Breathing Suppotion equipment;
S2-2: according to the fraction of inspired oxygen and end-tidal of the blood oxygen saturation of user and pressure value setting Breathing Suppotion equipment
Positive pressure;
S2-3: the original frequency of Breathing Suppotion equipment is arranged in respiratory rate when not going up machine according to user, if patient is certainly
Main respiratory rate is then arranged lower frequency and supports, be otherwise provided as standard respiratory rate on standard respiratory rate.
S2-4: the respiratory quotient of Breathing Suppotion equipment is set according to the autonomous respiration frequency or standard frequency of user.Air-breathing
Time is configured according to patient's autonomous respiration frequency or standard frequency and inspiratory/expiratory 1:2.
S2-5: the parameters such as breath holding time and rise time are set as default value.
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: if breathing
Holding equipment operates under ventilating mode, then the pressure of inspiration(Pi) of Breathing Suppotion equipment is adjusted in real time, so that the expiration moisture of user
Amount reaches standard tidal volume.
Further, if Breathing Suppotion equipment operates under pressure controlled ventilation mode, Breathing Suppotion is adjusted in real time
The pressure of inspiration(Pi) Pinsp of equipment, so that the expiration tidal volume of Breathing Suppotion equipment reaches standard tidal volume.If user exists certainly
Main breathing then adjusts the support pressure Psupp of Breathing Suppotion equipment, so that the expiration tidal volume of Breathing Suppotion equipment reaches in real time
Standard tidal volume.
In one embodiment of the invention, breathing relevant parameter includes the autonomous respiration frequency of user, then reduces breathing
The method of holding equipment man-machine confrontation further include: when Breathing Suppotion equipment man-machine confrontation occurs, according to the autonomous respiration of user
Frequency adjusts the respiratory rate of Breathing Suppotion equipment, and the autonomous respiration frequency of user is adjusted in default normal range (NR).
Specifically, respiratory rate it is too fast be man-machine confrontation characteristic feature, the method will be controlled when respiratory rate is too fast
The automatic frequency of system ventilation is set below autonomous respiration frequency values, every after after a certain period of time, under autonomous respiration frequency
Drop, automatically turns down setting frequency, until autonomous respiration frequency is adjusted in normal range (NR).
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: exhaling
When inhaling holding equipment man-machine confrontation, reduces pressure activated sensitivity or reduce flow triggering sensitivity, to reduce the autonomous of user
Breathing, to reduce Breathing Suppotion equipment man-machine confrontation.
Specifically, by taking Psens (pressure activated sensitivity) as an example, Psens range is 0 to -20cmH2O, and Psens value is bigger
Then sensitiveer, easier triggering, Psens is smaller, then is more difficult to trigger, therefore by reducing trigger sensitivity, can effectively reduce
The autonomous respiration of patient, to reduce man-machine confrontation.
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: exhaling
When inhaling holding equipment man-machine confrontation, increase the tidal volume of Breathing Suppotion equipment;After user is synchronous with Breathing Suppotion equipment, gradually
Reduce the tidal volume of Breathing Suppotion equipment.
Specifically, hypoventilation is too fast one of the reason of respiratory rate, can to the ventilatory capacity for being greater than standard tidal volume
Last gas concentration lwevel is exhaled to reduce rapidly, to inhibit to breathe.Tidal volume is adjusted to normal model after man-machine synchronize, then gradually
It encloses.
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: exhaling
When inhaling holding equipment man-machine confrontation, if the respiratory drive of user meets default respiratory drive sufficiency, breathing branch is reduced
The ventilatory frequency of holding equipment, to reduce intervention of the control ventilation to user.
In some instances, the gas flow that user breathes every time is 10ml/ kg body weight.Assuming that user's weight is 50 public
Jin, then user exhales every time or the amount of air-breathing is 500ml.Wherein, the concentration of oxygen is 21% in the air of sucking, then breathing is dynamic
The oxygen sucked when power is enough is 105ml.The main component of exhaled gas: nitrogen (75%), oxygen (16%), rare gas
(0.94%), carbon dioxide (4%), vapor (4.06%), the then carbon dioxide gas breathed out when respiratory drive is enough are
20ml.Certainly, according to different user the case where, the gas flow breathed every time can have difference.
Specifically, when patient respiration power enough (amount of oxygen that such as 50 kilograms of patient sucks every time 100ml extremely
The amount of carbon dioxide breathed out between 110ml and every time is in 18ml between 22ml), i.e., when triggering ability is stronger, then reduce control
Ventilatory frequency, to reduce intervention of the control ventilation to patient, allows patient to carry out from homophony so that PS (supporting breathing) is more as far as possible
Section.
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: exhaling
When inhaling holding equipment man-machine confrontation, if Breathing Suppotion equipment output waveform is unsatisfactory for default integrity degree waveform condition, Yong Huhu
Atmidometer becomes larger and airway pressure increases, then prompts user's suction sputum.Wherein, presetting integrity degree waveform decision condition can be breathing
In holding equipment output waveform, the difference between the ordinate value of continuous preset quantity is greater than preset difference value threshold value (according to standard
Wave setting) when, determine that Breathing Suppotion equipment output waveform is unsatisfactory for default integrity degree waveform decision condition;Otherwise Breathing Suppotion
Equipment output waveform meets default integrity degree waveform decision condition.
In one embodiment of the invention, the method for Breathing Suppotion equipment man-machine confrontation is reduced further include: exhaling
When inhaling holding equipment man-machine confrontation, if the autonomous respiration frequency of user is more than predeterminated frequency threshold value and the duration is more than default
Time, then prompt uses tranquillizer to user, to inhibit the autonomous respiration of user.
Fig. 2 is the structural block diagram of the system of the reduction Breathing Suppotion equipment man-machine confrontation of one embodiment of the invention.Such as Fig. 2
It is shown, the system of the reduction Breathing Suppotion equipment man-machine confrontation of the embodiment of the present invention, including data acquisition module 100, monitoring mould
Block 200 and control module 300.
Wherein, data acquisition module 100 is used to obtain age, gender and the height of the user using Breathing Suppotion equipment.
Monitoring modular 200 is used to monitor the breathing relevant parameter of user.Control module 300 is used for according to the age of user, gender and body
Control Breathing Suppotion equipment carries out ventilation support to user after the control of breathing parameter of height initialization Breathing Suppotion equipment, is also used to
Control of breathing parameter is adjusted according to breathing relevant parameter, to achieve the purpose that man-machine synchronization.
It is according to an embodiment of the present invention reduce Breathing Suppotion equipment man-machine confrontation system, according to the age of patient, gender,
The control of breathing parameter of Breathing Suppotion equipment is rationally arranged in height and breathing relevant parameter information, and Breathing Suppotion can be effectively reduced
Equipment man-machine confrontation.
In one embodiment of the invention, control of breathing parameter include tidal volume, fraction of inspired oxygen, end-expiratory positive pressure,
Original frequency and respiratory quotient.Control module 200 is specifically used for obtaining the ideal body of user according to the age of user, gender, height
Weight, and according to ideal body weight and default lung preversation strategy setting tidal volume.Control module 200 is also used to full according to the blood oxygen of user
With degree and pressure value setting fraction of inspired oxygen and end-expiratory positive pressure.Exhaling when control module 200 is also used to not go up machine according to user
Inhale set of frequency original frequency.Control module 200 is also used to be arranged according to the autonomous respiration frequency or standard frequency of user and exhale
Inhale ratio.
In one embodiment of the invention, monitoring modular 200 is also used to monitor the expiration tidal volume of Breathing Suppotion equipment.
Control module 200 is also used to adjust the expiration moisture of Breathing Suppotion equipment in real time in the case where Breathing Suppotion equipment operates in ventilating mode
Amount reaches standard tidal volume.
Further, if control module 300 is also used to Breathing Suppotion equipment and operates under pressure controlled ventilation mode,
The pressure of inspiration(Pi) for adjusting Breathing Suppotion equipment in real time, so that the expiration tidal volume of user reaches standard tidal volume.Control module 300
If being also used to user, there are autonomous respirations, the support pressure of Breathing Suppotion equipment is adjusted in real time, so that the expiration tide of user
Tolerance reaches standard tidal volume.
In one embodiment of the invention, breathing relevant parameter includes the autonomous respiration frequency of user.Control module 300
If the respiratory rate for being also used to user is more than default respiratory rate threshold value, is adjusted and breathed according to the autonomous respiration frequency of user
The autonomous respiration frequency of user is adjusted in default normal range (NR) by the ventilatory frequency of holding equipment.
In one embodiment of the invention, control module 300 is also used to when Breathing Suppotion equipment man-machine confrontation occurs,
It reduces pressure activated sensitivity or reduces flow triggering sensitivity, to reduce the autonomous respiration of user, to reduce Breathing Suppotion
Equipment man-machine confrontation.
In one embodiment of the invention, it is whether same with Breathing Suppotion equipment to be also used to monitor user for monitoring modular 200
Step.Control module 300 is also used to when Breathing Suppotion equipment man-machine confrontation occurs, and increases the tidal volume of Breathing Suppotion equipment;When
After user is synchronous with Breathing Suppotion equipment, the tidal volume of Breathing Suppotion equipment is gradually reduced.
In one embodiment of the invention, breathing relevant parameter includes the oxygen intake amount of user and gives off carbon dioxide
Amount.Control module 300 is also used to when Breathing Suppotion equipment man-machine confrontation occurs, if the oxygen intake amount of user and exhalation two
It aoxidizes carbon amounts and meets default respiratory drive sufficiency, then reduce the ventilatory frequency of Breathing Suppotion equipment, so that it is logical to reduce control
Intervention of the gas to user.
In one embodiment of the invention, the system for reducing Breathing Suppotion equipment man-machine confrontation further includes cue module,
Cue module is for being prompted.Control module 300 is also used to when Breathing Suppotion equipment man-machine confrontation occurs, if breathing branch
Holding equipment output waveform is unsatisfactory for default integrity degree waveform condition, the expiratory resistance of user becomes larger and airway pressure increases, then leads to
Cross cue module prompt user's suction sputum.
Further, breathing relevant parameter includes the autonomous respiration frequency of user.Control module 300 is also used to exhaling
When inhaling holding equipment man-machine confrontation, if the autonomous respiration frequency of user is more than predeterminated frequency threshold value and the duration is more than default
Time, then prompt uses tranquillizer to user, to inhibit the autonomous respiration of user.
In the description of this specification, reference term " one embodiment ", " some embodiments ", " example ", " specifically show
The description of example " or " some examples " etc. means specific features, structure, material or spy described in conjunction with this embodiment or example
Point is included at least one embodiment or example of the invention.In the present specification, schematic expression of the above terms are not
Centainly refer to identical embodiment or example.Moreover, particular features, structures, materials, or characteristics described can be any
One or more embodiment or examples in can be combined in any suitable manner.
Although an embodiment of the present invention has been shown and described, it will be understood by those skilled in the art that: not
A variety of change, modification, replacement and modification can be carried out to these embodiments in the case where being detached from the principle of the present invention and objective, this
The range of invention is by claim and its equivalent limits.