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气道疾病对呼吸道影响的模拟

Simulation of the effect of airway disease on respiratory airways.

作者信息

Pidaparti Ramana M, Koombua Kittisak

机构信息

Department of Mechanical Engineering, Virginia Commonwealth University, Richmond, VA 23284, USA.

出版信息

J Med Eng Technol. 2012 Oct;36(7):338-43. doi: 10.3109/03091902.2012.690016. Epub 2012 Jul 19.

Abstract

Airway disease such as tumours and asthma lead to lung injuries. Therefore, a better understanding of airway mechanics parameters is very important to avoid lung injuries in patients undergoing mechanical ventilation for treatment of respiratory problems in intensive-care medicine as well as pulmonary medicine. The objective of this study was to investigate the role of airway diseases such as asthma and tumours on airway mechanics parameters using coupled fluid-solid computational analysis. The results obtained indicate that both tumours and asthma greatly affect the airway mechanics parameters (airflow velocity increased by about 15% and the strains increased by about 40%). Strain results of this study highlight significant changes in levels of airway parameters, which may translate into higher health risk associated with airway tumours and the asthmatic airways. These results combined with optimization suggest that it is possible to develop mechanical ventilation protocols to avoid lung injuries in patients.

摘要

诸如肿瘤和哮喘之类的气道疾病会导致肺损伤。因此,更好地了解气道力学参数对于避免在重症医学和肺病学中接受机械通气治疗呼吸问题的患者发生肺损伤非常重要。本研究的目的是使用流固耦合计算分析来研究哮喘和肿瘤等气道疾病对气道力学参数的作用。所得结果表明,肿瘤和哮喘都会极大地影响气道力学参数(气流速度增加约15%,应变增加约40%)。本研究的应变结果突出了气道参数水平的显著变化,这可能转化为与气道肿瘤和哮喘气道相关的更高健康风险。这些结果与优化相结合表明,有可能制定机械通气方案以避免患者发生肺损伤。

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