School of Mechanical and Mechatronic Engineering, University of Technology Sydney (UTS), 15 Broadway, Ultimo, NSW 2007, Australia.
School of Life Sciences, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Int J Environ Res Public Health. 2021 Jun 9;18(12):6239. doi: 10.3390/ijerph18126239.
A comprehensive understanding of airflow characteristics and particle transport in the human lung can be useful in modelling to inform clinical diagnosis, treatment, and management, including prescription medication and risk assessment for rehabilitation. One of the difficulties in clinical treatment of lung disorders lies in the patients' variable physical lung characteristics caused by age, amongst other factors, such as different lung sizes. A precise understanding of the comparison between different age groups with various flow rates is missing in the literature, and this study aims to analyse the airflow and aerosol transport within the age-specific lung. ANSYS Fluent solver and the large-eddy simulation (LES) model were employed for the numerical simulation. The numerical model was validated with the available literature and the computational results showed airway size-reduction significantly affected airflow and particle transport in the upper airways. This study reports higher deposition at the mouth-throat region for larger diameter particles. The overall deposition efficiency (DE) increased with airway size reduction and flow rate. Lung aging effected the pressure distribution and a higher pressure drop was reported for the aged lung as compared to the younger lung. These findings could inform medical management through individualised simulation of drug-aerosol delivery processes for the patient-specific lung.
全面了解人类肺部的气流特征和颗粒输运有助于建模,从而为临床诊断、治疗和管理提供信息,包括药物处方和康复风险评估。肺部疾病的临床治疗的一个难点在于患者的肺部物理特征会因年龄等因素而变化,例如不同的肺部大小。在文献中缺乏对不同年龄段和不同流速之间的比较的精确理解,本研究旨在分析特定年龄段肺部的气流和气溶胶输运。采用 ANSYS Fluent 求解器和大涡模拟(LES)模型进行数值模拟。对数值模型进行了验证,结果与已有文献相符,计算结果表明气道尺寸减小显著影响了上呼吸道的气流和颗粒输运。本研究报告称,较大直径的颗粒在口咽部位的沉积更高。随着气道尺寸减小和流速增加,整体沉积效率(DE)增加。肺老化会影响压力分布,与年轻肺部相比,老年肺部的压降更高。这些发现可以通过对患者特定肺部的药物-气溶胶输送过程进行个体化模拟,为医疗管理提供信息。