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对慢性阻塞性肺疾病(COPD)和急性呼吸窘迫综合征(ARDS)呼吸患者的无创压力支持通气治疗系统进行建模。

Modeling the therapy system of noninvasive pressure support ventilation with the respiratory patient in COPD and ARDS.

作者信息

Yuan Yueyang, Xie Lixin, Liu Wei, Dai Zheng

机构信息

Innovation Base of Respiratory Diagnostic and Therapeutic Equipment, Hunan City University, Yiyang, China.

Department of Respiratory and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.

出版信息

Comput Methods Biomech Biomed Engin. 2023 May;26(6):673-679. doi: 10.1080/10255842.2022.2082246. Epub 2022 Jun 7.

Abstract

The noninvasive pressure support ventilation (NPSV) has been one of mechanical ventilation widely applied for the respiratory patients in chronic obstructive pulmonary disease (COPD), acute respiratory distress syndrome (ARDS), etc. To investigate and develop the technologies in NPSV conveniently and in low-cost, in this article, a therapy system model of NPSV was designed with developing the mathematical submodels of NPSV respirator and respiratory patient in COPD and ARDS. By simulating the respirator, breath circuit, mask and respiratory patients, a MATLAB-based virtual experimental platform was developed for virtual ventilations. And in order to test the authenticity and practicability of the therapy system model of NPSV, a lot of ASL5000-based physical experiments were carried out for comparative analysis with the simulated outputs: pressures, flows and volumes. The statistical conclusions demonstrate that the simulated results are consist with the results from the physical experiments (TTEST  > 0.39). The experimental results tell that the therapy system model of NPSV is effective and workable. The developed therapy system model of NPSV will be beneficial for clinician and researcher to explore the therapeutic methods and some potential measures in NPSV for saving the respiratory patient's health and life.

摘要

无创压力支持通气(NPSV)一直是广泛应用于慢性阻塞性肺疾病(COPD)、急性呼吸窘迫综合征(ARDS)等呼吸系统疾病患者的机械通气方式之一。为了方便且低成本地研究和开发NPSV技术,本文通过建立COPD和ARDS患者的NPSV呼吸机及呼吸患者的数学子模型,设计了一种NPSV治疗系统模型。通过对呼吸机、呼吸回路、面罩和呼吸患者进行模拟,开发了一个基于MATLAB的虚拟实验平台用于虚拟通气。为了测试NPSV治疗系统模型的真实性和实用性,进行了大量基于ASL5000的物理实验,与模拟输出结果(压力、流量和容积)进行对比分析。统计结论表明模拟结果与物理实验结果一致(TTEST > 0.39)。实验结果表明NPSV治疗系统模型是有效且可行的。所开发的NPSV治疗系统模型将有助于临床医生和研究人员探索NPSV中的治疗方法和一些潜在措施,以挽救呼吸系统疾病患者的健康和生命。

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