Moriya Henrique T, Moraes José Carlos T B, Bates Jason H T
Vermont Lung Center, Department of Medicine and Molecular Physiology and Biophysics, University of Vermont, Burlington, VT 05405-0075, USA.
Ann Biomed Eng. 2003 Mar;31(3):318-26. doi: 10.1114/1.1553453.
The assessment of the mechanical properties of the respiratory system is typically done by oscillating flow into the lungs via the trachea, measuring the resulting pressure generated at the trachea, and relating the two signals to each other in terms of some suitable mathematical model. If the perturbing flow signal is broadband and not too large in amplitude, linear behavior is usually assumed and the input impedance calculated. Alternatively, some researchers have used flow signals that are narrow band but large in amplitude, and invoked nonlinear lumped-parameter models to account for the relationship between flow and pressure. There has been little attempt, however, to deal with respiratory data that are both broadband and reflective of system nonlinearities. In the present study, we collected such data from mice. To interpret these data, we first developed a time-domain approximation to a widely used model of respiratory input impedance. We then extended this model to include nonlinear resistive and elastic terms. We found that the nonlinear elastic term fit the data better than the linear model or the nonlinear resistance model when amplitudes were large. This model may be useful for detecting overinflation of the lung during mechanical ventilation.
呼吸系统力学特性的评估通常是通过经气管向肺内输入振荡气流,测量气管处产生的相应压力,并根据某种合适的数学模型将这两个信号相互关联来进行的。如果扰动气流信号是宽带的且幅度不太大,通常假定为线性行为并计算输入阻抗。另外,一些研究人员使用的是窄带但幅度大的气流信号,并调用非线性集总参数模型来解释气流与压力之间的关系。然而,几乎没有人尝试处理既具有宽带特性又能反映系统非线性的呼吸数据。在本研究中,我们从小鼠身上收集了此类数据。为了解释这些数据,我们首先对广泛使用的呼吸输入阻抗模型进行了时域近似。然后我们扩展了这个模型,使其包括非线性阻力和弹性项。我们发现,当幅度较大时,非线性弹性项比线性模型或非线性阻力模型更能拟合数据。该模型可能有助于检测机械通气过程中肺的过度膨胀。